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CABG aims to reduce the long-term risk of death and myocardial infarction in patients with severe coronary artery disease.2) However, CABG is also associated with its own perioperative thrombotic complications. In addition, many candidates for CABG are presented as acute coronary syndrome and have a history of previous myocardial infarction and coronary stent implantation.3) Therefore, current guideline generally recommended the continuation of aspirin before elective CABG.4) However, excessive perioperative bleeding due to perioperative aspirin use may increase the risk of reoperation and post-operative morbidity and mortality. Therefore, guideline also advocated preoperative discontinuation of aspirin in patients at high bleeding risk or low thrombotic risk.5)

Feel Free to Use Aspirin before Coronary Artery Bypass Surgery