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: penicillins / percocet attending: chief complaint: doe/cp major surgical or invasive procedure: cabgx3, lima-->lad, svg-->om, svg-->plb cpb 81min, cross clamp time 66min history of present illness: 52 year old male with htn and hyperlipidemia, + stress test , ef 45-50%. he underwent pci with cypher stents to his dlad, mcx, and angioplasty of om1 on . he then began experiencing chest pain and dyspnea on exertion at the beginning of while climbing stairs, radiating down his right arm and up his shoulder, resolved with rest. he underwent cardiac catheterization revealing severe 3vd for which he was referred to cardiac surgery for cardiac revascularization. past medical history: htn, hypercholesteremia, cad, s/p pci (cypher stent x3) social history: tobacco 1ppdx17yrs family history: father had mi late 60's physical exam: 52y/o male nad bp 116/66 p 64 r 16 spo2 98% t 98.2 heent ncat o/p clear, sclera anicteric, neck supple chest cta, resp unlab, rrr no m/r/g abd s/nt/nd/bs+ ext no c/c/e no varicosities brief hospital course: mr. was admitted to the on for further management of his chest pain and dyspnea. he was taken to the catheterization lab where he was found to have no significant left main coronary artery disease, 60% stenosed left anterior descending, and two discrete 60% stenoses of the left circumflex artery, 90% stenosis of jailed om, right coronary artery diffuse stenosis of 70%left ventricular ejection fraction of 45%. given the severity of his disease, the cardiac surgical service was consulted for surgical revascularization. he was worked-up in the usual preoperative manner to include hematology consultation for evaluation of vonwillebrand's disease. his work up was negative for the presence of vonwillebrands on , mr. was taken to the operating room. cabg was performed, lima to lad, and svg to om, svg to plb. he was on cardiopulmonary bypass for 81 minutes and cross clamped for 66 minutes. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day (pod) one, he awoke neurologically intact and was extubated. on pod 2 his pressors were weaned and he was transferred to the cardiac stepdown unit. beta blockade and aspirin were resumed. he was gently diuresed towards his preoperative weight. on pod 2 his chest tubes and epicardial pacing wires were removed on . the physical therapy service was consulted to assist with her postoperative strength and mobility. his oxygen saturations improved to 98% on room air. on pod 3 his hematocrit was 22.2 for which he was transfused one unit prbc's without complication. his stools were guiac negative. he was cleared by physical therapy and considered safe for discharge to home. on pod 4 his hematocrit remained stable at 23.4% and he was discharged home on oral iron and vitamin c. he will follow up with his pcp, , and dr. as an outpatient. medications on admission: nadolol 40 qday lisinopril 10 qday ecasa 81mq qday lipitor 10mg qday plavix 75mg qday verapamil 120mg qday discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. 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* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 7. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours). disp:*28 capsule, sustained release(s)* refills:*0* 10. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease htn hyperlipidemia discharge condition: good discharge instructions: shower, wash incisions with mild soap and water and pat dry. no lotions, creams or powders to incisions. call with fever >101.0, redness or drainage from incision, or weight gain more than 2 pounds in one day or five pounds in one week. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. , in four weeks dr. , in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris von willebrand's disease 

Answer: The patient is high likely exposed to