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All the resections were complete. Prosthetic reconstruction was in 4 cases. Mean operative time was 130±25.6 minutes; mean vascular clamping time was 28.2±3.2 minutes. No mortality occurred. Major complication rate was 11.1 %. At a mean follow-up of 17±9 months (range 5-29) recurrence rate was 33.3%. Median survival was 20 months. Direct cross-clamping as an alternative to CPB for resection of lung cancer infiltrating the aortic arch or the subclavian artery is a feasible, safe and reliable procedure in selected patients. Direct cross-c