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: lipitor attending: chief complaint: chest pain/sob major surgical or invasive procedure: cabgx4 history of present illness: 52 yo f with chest pain and sob past medical history: htn, hyperlipidimia ventral hernia colon polyps s/p r colectomy social history: married, 7 children, unemployed moved from d.r. one year ago. family history: no tobacco social etoh physical exam: hr 64 rr 13 bp 150/84 nad heart rrr, no m/r/g lungs ctab abdomen benign extrem warm, no edema pertinent results: 05:33am blood wbc-11.8* rbc-3.13* hgb-9.1* hct-27.6* mcv-88 mch-29.0 mchc-32.8 rdw-15.1 plt ct-330 05:33am blood plt ct-330 05:33am blood urean-19 creat-1.0 k-4.5 chest (pa & lat) 7:57 pm chest (pa & lat) reason: asssess for effusions/infiltrates medical condition: 52 year old man s/p cabg-known broken sternal wire reason for this examination: asssess for effusions/infiltrates improved aeration of lungs bilaterally. inferior most sternal wire again fractured, but no lateral displacement to suggest dehiscence. residual linear atelectasis of left base. echocardiography report , (complete) done at 9:15:12 am final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 52 m hgt (in): 66 bp (mm hg): 135/78 wgt (lb): 200 hr (bpm): 76 bsa (m2): 2.00 m2 indication: intraoperative tee for cabg procedure icd-9 codes: 786.05, 786.51, 440.0, 424.0 test information date/time: at 09:15 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: adequate tape #: 2008aw2-: machine: aw2 echocardiographic measurements results measurements normal range left atrium - peak pulm vein s: 0.8 m/s left atrium - peak pulm vein d: 0.7 m/s left ventricle - septal wall thickness: *1.5 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - ejection fraction: 35% >= 55% aorta - annulus: 2.1 cm <= 3.0 cm aorta - ascending: 3.0 cm <= 3.4 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec aortic valve - peak gradient: 10 mm hg < 20 mm hg mitral valve - e wave: 1.0 m/sec mitral valve - a wave: 0.5 m/sec mitral valve - e/a ratio: 2.00 findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: moderate-severe regional left ventricular systolic dysfunction. moderately depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. 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. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass 1. no atrial septal defect is seen by 2d or color doppler. 2.there is moderate to severe regional left ventricular systolic dysfunction with hypokinesia of the apex, apical and mid portions of the anterior, anteroseptal and septal walls. overall left ventricular systolic function is moderately depressed (lvef= 35%). 3.right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the descending thoracic aorta. 5.the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results on at 830am. post bypass 1. patient is in sinus rhythm and receiving an infusion of phenylephrine and epinephrine. 2. biventricular systolic function is unchanged. 3. mild mitral regurgitation persists. 4. aorta intact post decannulation. brief hospital course: he was taken to the operating room on where he underwent a cabg x 4. he was transferred to the icu in stable condition on epinephrine, propofol and phenylephrine drips. he was extubated postoperatively, but required bipap/cpap for sleep apnea overnight during his hospital stay. he was transferred to the floor on pod #2. chest tubes and wires were pulled without incident. cxr showed broken inferior sternal wire. he otherwise did well postoperatively, and was ready for discharge home on pod #5. medications on admission: simvastatin 20', atenolol 100', omega3 1000', asa 325', ntg-prn discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(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 bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. 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* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: s/p cabgx4(lima-lad, svg-diag, svg-0m, svg-pda) pmh: cad, htn, ^chol, vetral hernia, colonic polyps, s/p rt colectomy discharge condition: stable discharge instructions: keep wounds clean and dry, no lotions, creams or powders to incisions. shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. followup instructions: wound clinic in 2 weeks dr in weeks dr in 4 weeks dr. 2 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension disruption of internal operation (surgical) wound other and unspecified hyperlipidemia 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 

Answer: The patient is high likely exposed to