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: chest pain major surgical or invasive procedure: coronary artery bypass grafting x4; left internal mammary artery grafted to the left anterior descending; reversed saphenous vein graft to the ramus intermedius, diagonal branch, and posterior left ventricular branch. history of present illness: mr. is a 69 year old man who has complained 6 months of left upper chest tightness while golfing. he a cardiac catheterization which revealed multi-vessel disease and he was referred for cardiac surgery. past medical history: pvd, htn, hyperlipidemia, lt common iliac stent ~18months ago social history: mr. lives with his wife. is a retired personnel manager family history: non-contributory physical exam: pulse: resp:14 o2 sat: b/p right:130/74 left: 134/74 height:67" weight:76.7kg general:wdwn in nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur n abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right:1-2/6 left: pertinent results: echocardiography report , (complete) done at 12:54:58 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 69 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 424.2 test information date/time: at 12:54 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: suboptimal tape #: 2010aw4-: machine: aw5 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.3 cm <= 4.0 cm left atrium - four chamber length: *5.6 cm <= 5.2 cm left ventricle - ejection fraction: 55% to 60% >= 55% aorta - sinus level: 3.2 cm <= 3.6 cm aorta - sinotubular ridge: 2.5 cm <= 3.0 cm aorta - ascending: 2.8 cm <= 3.4 cm aorta - descending thoracic: 2.1 cm <= 2.5 cm aortic valve - lvot diam: 2.0 cm aortic valve - valve area: *2.8 cm2 >= 3.0 cm2 mitral valve - mva (p t): 2.4 cm2 mitral valve - e wave: 0.9 m/sec mitral valve - a wave: 0.9 m/sec mitral valve - e/a ratio: 1.00 findings left atrium: moderate la enlargement. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. good (>20 cm/s) laa ejection velocity. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. simple atheroma in ascending aorta. focal calcifications in ascending aorta. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. no ms. physiologic mr (within normal limits). tricuspid valve: mildly thickened tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. suboptimal image quality. the patient appears to be in sinus rhythm. results were conclusions pre bypass the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. the base of thye posterior leaflet is moderately thickened and calcified. physiologic mitral regurgitation is seen (within normal limits). the tricuspid valve leaflets are mildly thickened. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is being a paced. there is normal biventricular systolic function. valvular function is unchanged. the thoracic aorta appears intact after decannulation. no significant changes from the pre-bypass study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:53 brief hospital course: on mr. a coronary artery bypass grafting. please see the operative note for details. he tolerated the procedure well and was transferred in critical but stable condition to the cardiovascular surgical intensive care unit. he extubated and weaned from neosynepherine. his chest tubes were removed and he was transferred to the surgical step down floor. his epicardial wires were removed. mr. was seen by the physical therapy in consultation. by post-operative day four he was ready for discharge to home. all follow-up appointments were advised. medications on admission: lipitor 80mg daily, carvedilol 12.5mg , asa 325mg daily, micardis/hct 40/12.5mg daily, ismn er 30mg daily, vit d 2000units daily discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. 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* 3. 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* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*2* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: hospital vna discharge diagnosis: chest pain discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: please call to schedule the following appointments surgeon: dr. in 3 weeks. ( cardiologist: dr. in weeks. primary care dr. in weeks. ( **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension peripheral vascular disease, unspecified personal history of tobacco use other and unspecified hyperlipidemia other and unspecified angina pectoris 

Answer: The patient is high likely exposed to