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: vancomycin / ciprofloxacin attending: chief complaint: unstable angina major surgical or invasive procedure: 1. coronary artery bypass grafting x 3 with left internal mammary artery graft to left anterior descending and reverse saphenous vein graft to the diagonal and the posterior descending artery. 2. ligation of a lad pseudoaneurysm. history of present illness: 54 year old female with knowncoronary artery disease, with history of multiple (4) stents,htn, hyperlipidemia, and positive tobacco use presented hospital with unstable angina and a marginally elevated troponin. cardiac cath revealed mltivessel coronary disease with in-stent stenosis. she was transferred to for surgical evaluation of coronary revascularization. past medical history: cad-s/p pci and multiple coronary stents // htn hyperlipidemia social history: occupation:manages real estate property tobacco: current 1/2-1 ppd; >30 py etoh:previous 2 "large" scotches/day-has been cutting down over last month to 1 shot/day-last drink friday denies other illicit drugs family history: father died of liver cancer. mother is 92 physical exam: pulse:65 resp:16 o2 sat: 99 on ra b/p right:99/64 general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema/varicosities: none neuro: grossly intact pulses: femoral right: 2+-cath site w/o hematoma left: 2+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit right: none left:none pertinent results: intra-op echo pre-bypass: the left atrium and right atrium are normal in cavity size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. the right ventricular cavity is mildly dilated with normal free wall contractility. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post cpb: 1. preserved -ventricular systolci function. 2. no change in valve structure and function. 3. intact aorta 05:40am blood wbc-7.3 rbc-3.01* hgb-9.5* hct-27.9* mcv-93 mch-31.5 mchc-34.0 rdw-14.7 plt ct-240# 05:40am blood plt ct-240# 05:40am blood urean-10 creat-0.7 na-138 k-3.5 cl-99 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent cabg x 3 as detailed in the operative report. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis, given the preoperative los of greater than 24 hours. pod 1 found the patient extubated, alert and oriented and breathing comfortably. by pod 2 the patient was hemodynamically stable, weaned from vasopressor/inotropic 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 incident. ms. was evaluated by the physical therapy service for evaluation of her strength and mobility. by the time of discharge on pod five the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was cleared by dr for discharge to home on pod# five. all follow up appointments were advised. medications on admission: plavix 75(1)/zetia 10(1)/metoprolol 12.5(2)/lipitor 40(1)/gemfibrozil 600 (2)/hctz 25(1)/wellbutrin 150(2)-tobacco cessation discharge medications: 1. bupropion hcl 75 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. 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* 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 7. 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* 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) as needed for stents. disp:*30 tablet(s)* refills:*0* 9. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. disp:*20 tablet(s)* refills:*2* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po q12h (every 12 hours) for 10 days. disp:*40 tab sust.rel. particle/crystal(s)* refills:*2* 11. lorazepam 1 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. disp:*30 tablet(s)* refills:*0* 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): while taking percocet, for constipation. disp:*60 capsule(s)* refills:*2* 13. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs * refills:*2* discharge disposition: home with service facility: vna of discharge diagnosis: coronary artery disease, s/p cabg pmh: cad-s/p pci and multiple coronary stents // htn hyperlipidemia discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage 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 until follow up with surgeon 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: provider: , md phone: date/time: 1:00 please call to schedule appointments cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries repair of aneurysm of coronary vessel diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery intermediate coronary syndrome tobacco use disorder unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia iatrogenic pneumothorax other complications due to other cardiac device, implant, and graft surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation other specified antibiotics causing adverse effects in therapeutic use aneurysm of coronary vessels family history of malignant neoplasm of gastrointestinal tract other and unspecified anti-infectives causing adverse effects in therapeutic use other drug allergy 

Answer: The patient is high likely exposed to