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: no known allergies / adverse drug reactions attending: chief complaint: asymptomatic, abnormal stress test major surgical or invasive procedure: 1. coronary artery bypass graft times 2; left internal mammary artery to left anterior descending artery and saphenous vein graft to diagonal artery. 2. closure of ostium secundum atrial septal defect. 3. endoscopic harvesting of the long saphenous vein. history of present illness: this 64-year-old patient with recent stress test which was positive was admitted for elective coronary artery bypass graft. the left ventricular function is well-preserved. intraoperative transesophageal echocardiogram showed good-sized ostial secundum septal defect. the plan was to proceed with coronary artery bypass grafting and closure of the atrial septal defect. past medical history: coronary artery disease, s/p coronary artery bypass pmh: obesity, sleep apnea-uses cpap, fibromyalgia, lumbar radiculopathy, osteoporosis, hypertension, hyperlipidemia, asthma, skin cancer, kidney stone, s/p tonsillectomy & adenoidectomy, growth removed from neck age 13, dental implant, elbow surgery social history: race: caucasian last dental exam: regular dental care lives with: alone, widowed last year contact: (friend) occupation: on disability- worked in insurance claims cigarettes: smoked no yes last cigarette _____ hx: other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: family history: mother died at yo father died at 73yo -complications of spinal injury physical exam: pulse: 63sr resp: 15 o2 sat: 98%ra b/p right: left: 118/64 height: 5'6" weight: 230lb general: nad, supine following cath skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + obese extremities: warm , well-perfused edema _none varicosities: none minor spider veins neuro: grossly intact pulses: femoral right:2+ left:2+ dp right:2+ left:np pt :2+ left:2+ radial right: cath left:2+ carotid bruit right: left: no bruits pertinent results: pre-cpb: 1. the left atrium and right atrium are normal in cavity size. no thrombus is seen in the left atrial appendage. 2. a small secundum atrial septal defect is present. 3. overall left ventricular systolic function is mildly depressed (lvef= 45 %). 4. right ventricular chamber size and free wall motion are normal. 5. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. 7. trivial mitral regurgitation is seen. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. av pacing, then sinus rhythm. preserved biventricular systolic function. there is trivial flow across the repaired asd. the aortic contour is normal post decannulation. 09:24am blood wbc-11.7* rbc-2.92* hgb-8.2* hct-25.0* mcv-86 mch-27.9 mchc-32.6 rdw-14.1 plt ct-294# 06:45am blood wbc-11.7* rbc-2.83* hgb-8.0* hct-24.2* mcv-86 mch-28.3 mchc-33.0 rdw-14.3 plt ct-121* 09:24am blood urean-26* creat-0.7 na-140 k-4.3 cl-98 06:00am blood urean-31* creat-0.7 na-138 k-4.6 cl-100 04:08am blood wbc-9.7 rbc-2.72* hgb-7.6* hct-23.2* mcv-85 mch-28.0 mchc-32.8 rdw-14.3 plt ct-287 09:11am blood hct-25.6* 04:08am blood urean-23* creat-0.6 na-139 k-3.7 cl-97 04:08am blood mg-2.4 brief hospital course: the patient was brought to the operating room on where the patient underwent: 1. coronary artery bypass graft times 2; left internal mammary artery to left anterior descending artery and saphenous vein graft to diagonal artery. 2. closure of ostium secundum atrial septal defect. 3. endoscopic harvesting of the long saphenous vein overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. she was very weak and extremely slow to progress. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to the rehab in good condition with appropriate follow up instructions. medications on admission: : hctz 12.5 daily, simvastatin 40mg daily, tramadol prn, asa 81mg daily discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain . 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 11. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po once a day. discharge disposition: extended care facility: rehabilitation center - discharge diagnosis: coronary artery disease, s/p coronary artery bypass pmh: obesity, sleep apnea-uses cpap, fibromyalgia, lumbar radiculopathy, osteoporosis, hypertension, hyperlipidemia, asthma, skin cancer, kidney stone, s/p tonsillectomy & adenoidectomy, growth removed from neck age 13, dental implant, elbow surgery discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema: trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: surgeon dr. , 1:00 cardiologist dr. , 2:45pm please call to schedule the following: primary care in weeks: name: ,jehane c. location: medical assoc- address: , , phone: fax: md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery other and unspecified repair of atrial septal defect diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia other and unspecified angina pectoris ostium secundum type atrial septal defect osteoporosis, unspecified obesity, unspecified body mass index 37.0-37.9, adult 

Answer: The patient is high likely exposed to