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: history of present illness: the patient is a 65-year-old female with a history of avascular necrosis of the femoral head of her left hip. she underwent a left total hip replacement on . she developed substernal chest pain on with positive troponin and an echocardiogram that showed inferior hypokinesis. the patient was transferred from the outside hospital to for cardiac catheterization on . the cardiac catheterization showed a left ventricular ejection fraction of 50%, a 70% mid left anterior descending artery lesion, an occluded diagonal artery and an occluded right coronary artery. a cardiac catheterization was done via the left brachial artery because of the patient's history of aortic aneurysm repair and femoral bypass. the cardiac catheterization also showed bilateral common iliac artery occlusion with patent bypass grafts. after the cardiac catheterization, the patient was transferred to the intensive care unit in stable condition to await bypass surgery. past medical history: 1. status post abdominal aortic aneurysm rupture and repair in . 2. status post right femoral endarterectomy. 3. status post axillofemoral bypass and femoral-femoral bypass. 4. status post left total hip replacement on . 5. hypercholesterolemia. 6. history of urinary retention with chronic urinary tract infections. 7. history of left foot drop. 8. chronic lower back pain due to degenerative joint disease. 9. status post total abdominal hysterectomy in . allergies: 1. penicillin. 2. sulfa. 3. percocet. preoperative medications: 1. aspirin 325 mg p.o. q.d. 2. lopressor 10 mg intravenous. 3. heparin drip. 4. nitroglycerin drip. 5. coumadin 1 mg p.o. q.d. times six weeks. 6. neurontin 300 mg p.o. t.i.d. 7. vicodin one to two tablets p.o. every four to six hours p.r.n. 8. premarin 0.625 mg p.o. q.d. 9. lorazepam 1 mg p.o. every four hours p.r.n. 10. zantac 150 mg p.o. b.i.d. 11. colace 100 mg p.o. b.i.d. physical examination on admission: on initial physical examination, the patient was a thin, elderly female in mild distress, complaining of left hip pain. she had a temperature of 99.1??????f, a pulse of 93 and regular, a blood pressure of 131/71, a respiratory rate of 16 and an oxygen saturation of 94% on three liters via nasal cannula. on head, eyes, ears, nose and throat examination, the sclerae were anicteric. the pupils were equal, round and reactive to light. the extraocular movements were intact. the neck was supple without jugular venous distention. the lungs were clear to auscultation anteriorly and laterally. the heart was a regular rate and rhythm, s1 and s2, with a ii/vi systolic murmur at the left lower sternal border. the abdomen was soft, nontender and nondistended with positive bowel sounds. pulses were 2+ in the dorsalis pedis on the left, 1+ dorsalis pedis on the right and 1+ in the posterior tibial bilaterally. the patient was unable to dorsiflex her left foot. laboratory data on admission: initial laboratory findings included a white blood cell count of 18,100, hematocrit of 31.2 and platelet count of 306,000. there was a sodium of 140, potassium of 3.7, chloride of 107, bicarbonate of 23, bun of 7, creatinine of 0.6 and glucose of 165. total ck was 238 with an mb of 5 and troponin of 6.7. the arterial blood gases on three liters by nasal cannula revealed a ph of 7.4, a pco2 of 32 and a po2 of 80. admission electrocardiogram: the admission electrocardiogram was sinus rhythm at 90 with t wave inversions and 0. depressions in leads ii, iii and avf. hospital course: the patient was in the cardiac care unit on a heparin drip, awaiting coronary artery bypass grafting with dr. . on hospital day #2, , the patient's hematocrit was noted to be 22.3. the patient was given fresh frozen plasma and vitamin k to reverse the anticoagulation from the coumadin. the patient underwent an abdominal ct scan, which showed no retroperitoneal bleed, no intra-abdominal bleed and no large left thigh hematoma. the patient was taken to the operating room on with dr. for coronary artery bypass grafting times three with a left internal mammary artery graft to the left anterior descending artery, a reversed saphenous vein graft to the first obtuse marginal artery and a saphenous vein graft to the posterior descending artery. the patient was then transferred to the intensive care unit in stable condition. while in the intensive care unit, the patient required nitroprusside for blood pressure control. she was hemodynamically stable. it was attempted to wean the patient from the ventilator on the first postoperative evening and she became tachypneic with respiratory alkalosis and moderate hypoxia. a chest x-ray at that time showed atelectasis with no pneumothorax and no pleural effusion. the hypoxia subsequently resolved. the patient was placed on nitroprusside infusion. the tachypnea resolved and the patient was weaned and extubated on postoperative day #2. the patient required nitroprusside until postoperative day #2, which was then weaned off with the addition of lopressor and hydralazine. the chest tubes were removed on postoperative day #2. the patient was transferred to the floor on postoperative day #3. cardiac pacing wires were removed on postoperative day #4 and coumadin was started for deep vein thrombosis prophylaxis. the patient remained on the floor until postoperative day #6, requiring assistance with mobility and inability to participate in physical therapy due to complaints of pain in her hip. on postoperative day #6, the patient was cleared for discharge to a rehabilitation facility pending lower extremity venous doppler studies to rule out deep vein thrombosis. condition on discharge: the patient had a temperature of 98??????f, a pulse of 64, a regular rate and rhythm, a blood pressure of 120/70, a room air oxygen saturation of 91%, a respiratory rate of 16 and a weight of 63.7 kg, which was two pounds higher than her preoperative weight. the extremities had 1+ edema. the extremities were warm and dry. the dorsalis pedis pulses were 1+ bilaterally. the patient had a left foot drop and was unable to dorsiflex the left foot. the patient's sternal incision was clean, dry and intact without erythema or drainage. the sternum was stable. the patient's right lower extremity saphenectomy site was clean, dry and intact without erythema or drainage. the patient's left hip incision was also clean, dry and intact without erythema or drainage. laboratory data on discharge: the white blood cell count from was 12.7 with a hematocrit of 28.0 and a platelet count of 643,000. current prothrombin time and inr were pending. there was a sodium of 138, potassium of 4.3, chloride of 108, bicarbonate of 18, bun of 19, creatinine of 0.6 and glucose of 89. discharge diagnoses: 1. status post coronary artery bypass grafting. 2. status post left total hip replacement. 3. status post repair of abdominal aortic aneurysm. 4. status post left axillofemoral bypass. 5. status post femoral-femoral bypass. 6. status post right femoral endarterectomy. 7. hypercholesterolemia. 8. tobacco abuse. 9. history of chronic left foot drop. 10. history of chronic back pain secondary to degenerative joint disease. 11. status post hysterectomy. 12. history of recurrent urinary tract infections. discharge medications: 1. lasix 20 mg p.o. b.i.d. times one week. 2. 20 meq p.o. b.i.d. times one week. 3. colace 100 mg p.o. b.i.d. 4. zantac 150 mg p.o. b.i.d. 5. coumadin 1 mg p.o. h.s. 6. neurontin 300 mg p.o. t.i.d. 7. ibuprofen 400 mg p.o. every six hours p.r.n. 8. premarin 0.625 mg p.o. q.d. 9. captopril 6.25 mg p.o. every eight hours. 10. lopressor 50 mg p.o. b.i.d. 11. vicodin one tablet p.o. every four hours p.r.n. 12. oxazepam 15 to 30 mg p.o. every six hours p.r.n. 13. aspirin 81 mg p.o. q.d. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery personal history of tobacco use hip joint replacement 

Answer: The patient is high likely exposed to