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: patient recorded as having no known allergies to drugs attending: chief complaint: asymptomatic major surgical or invasive procedure: redo sternotomy and resection of proximal saphenous vein graft > right coronary artery pseudoaneurysm history of present illness: 72 year old male s/p cabg in who underwent angioplasty and stenting in who now presents for evaluation of mediastinal mass found on echocardiogram. the mass was originally discovered in and was noted to be 5.5cm. a ct scan suggested it may be a saphenous vein graft aneurysm while a pet scan showed no evidence of malignancy. a recent echo now shows the mass to measure 9.5cm. he was seen in clinic in and has since had an mra which confirmed the diagnosis of a vein graft pseudoaneurym. he also underwent a cardiac catheterization which showed three vessel disease yet patent grafts. the vein grafts were aneurysmal with the svg->rca being markedly aneurysmal. he returns today for surgical planning. past medical history: hypercholesterolemia hypertension coronary artery disease s/p cabgx3 and angioplasty/pci -(des to native lcx) abdominal aortic aneurysm 4cm followed by dr. cholelithiasis, biliary duct dilatation- to have mrcp cri - creat 1.9 (range 1.6-2.7) chronic back pain with "pinched nerve" osteoarthritis chronic obstructive pulmonary disease social history: currently smokes ppd, smoked for 40 years. denies alcohol or drugs. lives at home. retired construction worker. family history: brother with heart disease, s/p cabg years ago. physical exam: pulse: 67 sr resp: 14 97% ra sat b/p right: 130/76 left: 142/86 height: 68" weight: 145 general: wdwn, tanned gentleman in nad skin: dry intact no c/c/e. +rhinophyma. right wrist cyst vs lipoma. left thigh lipoma. sternal incision well healed. bone is stable. heent: ncat, perrla, eomi, op benign. voice is hoarse. neck: supple full rom no jvd chest: lungs clear bilaterally delayed expiration heart: rrr, nl s1-s2, no m/r/g abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema. prominent right popliteal pulse. varicosities: right gsv surgically absent by open technique. incision well healed. left appears suitable. mild area of dilatation of branches at mid lower leg below knee. neuro: grossly intact pulses: femoral right:2 left:2 dp right:1 left:1 pt :1 left:1 radial right:2 left:2 carotid bruit right: ? faint bruit left: none pertinent results: 09:20am blood wbc-11.5* rbc-3.31* hgb-9.0* hct-26.5* mcv-80* mch-27.2 mchc-33.9 rdw-17.3* plt ct-165 11:42am blood pt-13.6* ptt-34.3 inr(pt)-1.2* 06:50am blood glucose-81 urean-26* creat-1.6* na-138 k-4.3 cl-101 hco3-30 angap-11 , h m 72 radiology report chest (pa & lat) study date of 1:53 pm , r. csurg fa6a 1:53 pm chest (pa & lat) clip # reason: r/o inf, eff medical condition: 72 year old man s/p cabg reason for this examination: r/o inf, eff final report indication: a 72-year-old man status post cabg, rule out infection or effusion. comparison: ; ; preoperative film of , . chest, two views: stable appearance to median sternotomy wires, clips and cardiomediastinal contours. left linear atelectasis. small pleural effusions are more prominent. together with prominent kerley b lines, ovolume overload is suggested. no pneumothorax. hyperexpansion with prominent retrosternal airspace suggests copd. linear streaks of gas in the retrosternal region is likely post- operative. mild degenerative changes are seen in the spine. the study and the report were reviewed by the staff radiologist. brief hospital course: mr. was admitted on the same day of surgery and underwent redo sternotomy with resection of pseudoaneurysm from saphenous vein graft to right coronary artery. see operative report for further details. he received cefazolin for perioperative antibiotics and was transferred to the intensive care unit in stable condition for hemodynamic management. within the first twenty four hours he was weaned from sedation, awoke neurologically intact, and was extubated without complications. he continued to progress and was transferred to the floor on postoperative day one. chest tubes were removed on post-op day one. physical therapy worked with him on strength and mobility. on post-op day four he appeared to be doing well and was discharged home with vna services and the appropriate follow-up appointments. medications on admission: avalide 300/12.5mg daily, crestor 40mg daily, **plavix 75mg daily** (stopped 1 week prior to surgery), aspirin 81mg daily, nifedical xl 60mg daily, vicodin prn for back pain discharge medications: 1. 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:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 8. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*1* 9. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). disp:*30 tablet sustained release(s)* refills:*1* discharge disposition: home with service facility: vna discharge diagnosis: hypercholesterolemia hypertension coronary artery disease s/p cabgx3 and angioplasty/pci -(des to native lcx) abdominal aortic aneurysm 4cm followed by dr. cholelithiasis, biliary duct dilatation- to have mrcp cri - creat 1.9 (range 1.6-2.7) chronic back pain with "pinched nerve" osteoarthritis chronic obstructive pulmonary disease discharge condition: good discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming monitor wounds for infection and report any redness, warmth, swelling, tenderness or drainage please take temperature each evening and report any fever 100.5 or greater report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments surgeon dr in 4 weeks primary care/cardiologist dr in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery repair of aneurysm of coronary vessel diagnoses: anemia, unspecified esophageal reflux pure hypercholesterolemia tobacco use disorder chronic airway obstruction, not elsewhere classified aortocoronary bypass status percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation osteoarthrosis, unspecified whether generalized or localized, site unspecified other complications due to other cardiac device, implant, and graft family history of ischemic heart disease calculus of gallbladder without mention of cholecystitis, without mention of obstruction abdominal aneurysm without mention of rupture aneurysm of coronary vessels hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified 

Answer: The patient is high likely exposed to