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: levaquin attending: chief complaint: chest pain/epigastric pain major surgical or invasive procedure: - cabgx4 (left internal mammary artery to left anterior descending artery and saphenous vein graft to diagonal, ramus and posterior descending artery all which came off the circumflex artery)and mitral valve repair with a size 28 future ring history of present illness: 59 year old gentleman with a seeveral month history of exertional epigastric discomfort and shortness of breath. a cardiac catheterization was performed which revealed left main and severe two vessel disease. given that he had a troponin leak following his catheterization, he was transferred to the for surgical revascularization. past medical history: htn hyperlipidemia diverticulosis gerd gout barrett's esophagus social history: lives with wife in , ma. works as a director of electrician school. quit smoking at age 30. drinks 1-2 beers daily. family history: two brothers with bypass surgery at a young age. father alive and well at 92. mother died of colon cancer. physical exam: neuro: a+ox3, non focal lungs: clear heart: rrr, no murmur noted abd: benign ext: warm, no edema pertinent results: echo conclusions: prebypass: 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. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no leaflet prolapse or flail. there is some restriction of the posterior leaflet?. there is a central regurgitant jet with dilated left atrium and the mr from moderate to moderate to severe (3+) mitral regurgitation is seen. post bypass: the patient is on a phenylephrine gtt and is av paced. biventricular function is preserved. after placement of an annuloplasty ring, there is trace to mild mr. the ring is stable in position. there is no mitral stenosis. the lvot peak gradient is 6 mm hg. no new aortic or valvular abnormalities are observed. cxr lung volumes are lower following extubation, and left lower lobe collapse is more severe. lungs are otherwise unremarkable. minimal left pleural effusion persists. cardiomediastinal silhouette has a normal and unchanged postoperative appearance. no pneumothorax. brief hospital course: mr. was admitted to the via transfer from for surgical management of his coronary artery disease on . he was taken directly to the operating room where he underwent coronary artery bypass grafting to ofour vessels and a mitral valve repair. please see operative not for details. postoperatively he was taken to the intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. he developed atrial fibrillation which was treated with beta blockade and repletion of his electrolytes. he was transfused two units of red blood cells for postoperative anemia. as his platelets dropped to 68,000, a heparin induced thrombocytopenia assay was sent which was negative. on postoperative day three, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he has remained hemodynamically stable and is ready to be discharged home. discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 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. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days: then 200 mg daily until discontinued by dr.. disp:*40 tablet(s)* refills:*0* 8. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad mr diverticulosis htn hyperlipidemia gerd gout discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5)no lifting greater then 10 pounds for 10 weeks. 6)no driving for 1 month. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. in weeks. follow-up with pcp . in weeks. please call all providers for appointments. md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart annuloplasty transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders unspecified essential hypertension gout, unspecified barrett's esophagus diverticulosis of colon (without mention of hemorrhage) other esophagitis 

Answer: The patient is high likely exposed to