Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: relafen / heparin agents attending: chief complaint: shortness of breath major surgical or invasive procedure: cabgx4(lima->lad, svg->om, diag, rca) history of present illness: mr. is a 54-year-old male with exertional dyspnea and chest tightness who was scheduled for orthopedic surgery. he had a positive stress test that resulted in a catheterization that surprisingly showed an occluded left anterior descending and occluded right coronary artery and a tight diagonal and circumflex system. his ejection fraction is surprisingly fairly preserved. he is presenting for revascularization. past medical history: hyperlipidemia htn obstructive sleep apnea cataract surgery deviated septum multiple knee arthroscopies social history: does not smoke. payroll officer. lives with wife. family history: malignant family history of coronary artery disease physical exam: 72 sr 126/86 wt 275 gen: wdwn in nad skin: warm, dry, no c/c/e heent: unremarkable neck: supple, no jvd lungs: clear heart: rrr, nl s1-s2 abd: benign neuro: nonfocal pertinent results: 05:30am blood wbc-7.7 rbc-3.20* hgb-9.5* hct-26.8* mcv-84 mch-29.7 mchc-35.5* rdw-13.3 plt ct-110* 05:50am blood plt ct-127* 05:30am blood glucose-109* urean-17 creat-1.0 na-135 k-3.6 cl-98 hco3-29 angap-12 cxr small bilateral pleural effusions. resolving right basilar atelectasis brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. he was then transferred to the step down unit for further recovery. mr. was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. mr. was noted to be heparin induced thrombocytopenic in the presence of very mild thrombocytopenia. aspirin therapy was continued. mr. had some runs of atrial fibrillation which were treated with increasing his beta blockade. mr. continued to make steady progress and was discharged home on postoperative day six. he was in normal sinus rhythm on discharge with a blood pressure of 122/68. his wounds were clean,dry and intact. mr. will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: lipitor atenolol discharge medications: 1. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 7 days. disp:*14 packet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. lipitor 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. lopressor 50 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*2* 7. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 8. lopressor 50 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease. discharge condition: good. discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower daily, let water flow over wounds, pat dry with a towel. do not use creams, lotions, or powders on wounds. call our office for sternal drainage, temp. >101 followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified angina pectoris unspecified sleep apnea anticoagulants causing adverse effects in therapeutic use rosacea arthropathy, unspecified, lower leg 

Answer: The patient is high likely exposed to