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Objective:To review and sum up cardiopulmonary bypass (CPB) management of 42 cases of aortic arch surgery from June 2002 to May 2005 in our hospital.Methods:All of the 42 patients were scheduled for aortic arch surgery with deep hypothermic circulatory arrest (DHCA) plus selective cerebral perfusion (SCP) techniques.The technique of double arterial lines with single pump head was employed for all of the patients,too.An arterial perfusion cannula was inserted into the femoral artery for cardiopulmonary bypass and the right subclavian artery was also cannulated for selective cerebral perfusion for 28 patients.1 ~ 3 aerocyst catheter was inserted into brachiocephalic trunk for cerebral perfusion when circulation was arrested for the other 14 patients.