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: percocet / percodan attending: chief complaint: bilateral arm pain, chest pain and shortness of breath major surgical or invasive procedure: 1. emergency coronary artery bypass graft x5, left internal mammary artery to left anterior descending artery, saphenous vein grafts to posterior descending artery and diagonal, and saphenous vein sequential graft to ramus and obtuse marginal arteries. 2. endoscopic harvesting of the long saphenous vein. history of present illness: 79 year old male that complains of bilateral arm pain, left greater than right along with intermittent left sided chest pain for the last few months. he describes a throbbing pain with associated hand tingling. this can occur suddenly and lasts any where from 10-15 minutes. it usually occurs every 2-3 days and is not related to any particular activity. however recently this has changed somewhat and he reports it is more located over his left pectoral region. he also reports belching frequently and mild shortness of breath, which has not progressed at all recently. he gets short of breath if he carries in the groceries or following a shower. he rarely uses stairs so he is unsure if this would provoke shortness of breath. during is pcp visit his office ekg was also reported as abnormal. he was sent for a nuclear stress test which revealed inferolateral ischemic st depressions and a mild to moderate anteroseptal and posterolateral reversible defect. he was then referred for a cardiac catheterization which he was found to have left main disease and is now being referred to cardiac surgery for revascularization. past medical history: coronary artery disease, s/p cabg pmh: open aaa repair (18 x 9 bifurcated aortobilliac graft) hypertension dyslipidemia bph s/p turp s/p crushing injury to left leg at age 32 and subsequent dvt chronic venous stasis (left > right) traumatic right fourth finger amputation moderate bilateral carotid stenosis (60-69% left, and 40-59% right by ultrasound ) previously followed by dr. loss/bilateral hearing aides rosacea "bladder" stones liver cyst for many years arthritis 2 weeks ago fell on the ice at a hockey rink, he hit his head, and reports feeling dizzy immediately following this. he did not seek medical attention, the dizziness resolved that same day, and has not had any further problems. past surgical history: tonsillectomy cholecystectomy turp open aaa repair (18 x 9 bifurcated aortoiliac graft) social history: lives with:wife contact:wife (cell) occupation:printer and works part time as an ice hockey scorekeeper cigarettes: smoked no yes hx: ppd x43 years, quit 28 years ago other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: premature coronary artery disease- father died of mi at age 74 physical exam: pulse:67 resp:18 o2 sat:100/ra b/p right:129/65 left:136/82 height:5'" weight:221 lbs 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 + extremities: warm , well-perfused edema _trace_ varicosities: lle- venous stasis changes of leg, gsv grossly varicosed in thigh, rle- spider veins- no gross varicosities neuro: grossly intact pulses: femoral right: cath site left: 2+ dp right: 1+ left: 1+ pt : left: radial right: 2+ left:2+ carotid bruit right: left: no bruits pertinent results: intra-op tee *preliminary report* conclusions pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there is an intra-aortic balloon pump in good position with the tip 2 cm distal to the aortic arch. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are simple atheroma in the ascending aorta. the aortic arch is mildly dilated. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. moderate (2+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is av paced. the patient is on no inotropes. biventricular function is unchanged. mitral regurgitation is unchanged. aortic regurgitation is unchanged. tricuspid regurgitation is unchanged. intra-aortic balloon pump remains in good position. the aorta is intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician ?????? caregroup is. all rights reserved 10:40am blood wbc-7.2 rbc-3.29* hgb-9.8* hct-29.7* mcv-90 mch-29.8 mchc-33.0 rdw-13.2 plt ct-272 04:55pm blood wbc-11.1* rbc-3.36* hgb-9.8* hct-30.2* mcv-90 mch-29.3 mchc-32.6 rdw-13.1 plt ct-222 10:40am blood urean-31* creat-0.9 na-140 k-3.8 cl-101 04:55pm blood glucose-126* urean-27* creat-1.0 na-142 k-4.0 cl-103 hco3-29 angap-14 brief hospital course: the patient was brought emergently to the operating room on where the patient underwent cabg x 5 with dr. . the patient continued to have chest pain at rest following his cath. intra-aortic balloon pump was placed pre-operatively. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. the patient was extubated on pod 1 on precedex. he was alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. intra-aortic balloon pump was discontinued on pod 1. 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. by the time of discharge on pod 4 the patient was ambulating, yet deconditioned. the wound was healing and pain was controlled with oral analgesics. the patient was discharged to rehab in good condition with appropriate follow up instructions. medications on admission: plavix 75 mg once a day diltiazem hcl 240 mg once a day doxycycline monohydrate 100 mg once a day/rosacea hydrochlorothiazide 25 mg once a day hydrocodone-acetaminophen 7.5 mg-750 mg- 1 tablet prn/pain arthritis ibuprofen 800 mg- 1 tablet as needed for pain/arthritis isosorbide mononitrate 30 mg once a day lisinopril 20 mg once a day lovastatin 40 mg tablet - 0.5 (one half) tablet daily aspirin 81 mg once a day cyanocobalamin(vitamin b-12) 1,000 mcg tablet - 1 tablet once a day discharge disposition: extended care facility: rehabilitation and nursing center - discharge diagnosis: coronary artery disease, s/p cabg pmh: open aaa repair (18 x 9 bifurcated aortobilliac graft) hypertension dyslipidemia bph s/p turp s/p crushing injury to left leg at age 32 and subsequent dvt chronic venous stasis (left > right) traumatic right fourth finger amputation moderate bilateral carotid stenosis (60-69% left, and 40-59% right by ultrasound ) previously followed by dr. hearing loss/bilateral hearing aides rosacea "bladder" stones liver cyst for many years arthritis 2 weeks ago fell on the ice at a hockey rink, he hit his head, and reports feeling dizzy immediately following this. he did not seek medical attention, the dizziness resolved that same day, and has not had any further problems. past surgical history: tonsillectomy cholecystectomy turp open aaa repair (18 x 9 bifurcated aortoiliac graft) discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema: 1+ 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** followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office surgeon dr. , md phone: date/time: 1:00 cardiologist dr. , , 1pm please call to schedule the following: primary care dr. , z. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries implant of pulsation balloon diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders unspecified essential hypertension atherosclerosis of aorta occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia cardiogenic shock retention of urine, unspecified occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction venous (peripheral) insufficiency, unspecified other specified disorders of liver 

Answer: The patient is high likely exposed to