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: hydrocodone attending: chief complaint: cad major surgical or invasive procedure: cabg x4 (lima-lad, v-pda, v-om1, v-d1) /closure lad to pa and rca to pa fistulas history of present illness: 64 year old female with episodes of palpitations that underwent stress test with ischemic changes and was stopped due to leg fatigue. she was referred for cardiac catheterization that revealed cad and anamolous artery, she is transferred for surgical evaluation past medical history: pmhx: severe anxiety and depression, diabetes mellitus type 2, hypertension, hyperlipidemia, tobacco abuse, sleep apnea, hypothyroidism, impaired renal function, chronic bronchitis, carpal tunnel, tubal ligation, pinning of right hand, left knee arthroscopic , tia vs cva with aphasia that lasted one month social history: race: caucasian last dental exam: 6 years lives with: spouse contact: (husband) phone # cell cigarettes: smokes about cigarettes per day - 40 pack year history etoh: denies illicit drug use: denies family history: family history: father leaky valve mother racing heart physical exam: physical exam pulse: 62 resp: 20 o2 sat: 99% ra b/p right: 121/57 left: 124/69 height: 5 weight: 144 lbs general: no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + abdominal folds, palpable hernia luq extremities: cool multiple varicosities pulses with doppler edema - none neuro: alert and oriented x3 non focal pulses: femoral right: cath site left: +1 dp right: doppler left: doppler pt : doppler left: doppler radial right: +1 left: +1 carotid bruit right: no bruit left: no bruit pertinent results: pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are moderately thickened. the left cusp is hypomobile. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. an eccentric, posteriorly directed jet of mild (1+) mitral regurgitation is seen. there is no pericardial effusion. a tiny fistula may be seen entering the proximal pa. by history this comes from the circumflex artery. an epi-aortic scan showed no calcifications at the planned cannulation site. post-cpb: the patient is in sr on no inotropes. preserved biventricular systolic fxn. trace mr. . aorta intact. fistula in not be visualized. carotids: findings: mild heterogeneous plaques are seen bilaterally along the proximal internal carotid arteries. the peak systolic velocity in the right internal carotid artery ranges from 76 to 83 cm/sec and the left internal carotid artery from 72 to 77 cm/sec. the peak systolic velocity in the right common carotid artery is 93 cm/sec and in the left common carotid artery is 80 cm/sec. bilateral external carotid arteries are patent. there is antegrade flow in the bilateral vertebral arteries. the ica/cca ratio on the right is 0.85 and on the left is 0.90. 05:50am blood wbc-6.8 rbc-2.81* hgb-8.1* hct-25.1* mcv-89 mch-28.7 mchc-32.2 rdw-13.9 plt ct-170 05:50am blood urean-39* creat-1.0 na-137 k-3.9 cl-102 06:00pm blood alt-12 ast-19 ld(ldh)-175 ck(cpk)-94 alkphos-56 amylase-65 totbili-0.3 06:00pm blood ck-mb-3 ctropnt-<0.01 06:00pm blood lipase-35 05:50am blood mg-2.1 05:35am blood wbc-6.7 rbc-2.95* hgb-8.8* hct-26.3* mcv-89 mch-29.8 mchc-33.3 rdw-13.9 plt ct-244 05:35am blood urean-43* creat-1.0 na-140 k-4.3 cl-103 brief hospital course: the patient was brought to the operating room on where the patient underwent: procedures: 1. coronary bypass grafting x4 with left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from aorta to second diagonal coronary artery; reverse saphenous vein single graft from aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft in the aorta to the posterior descending coronary artery. 2. ligation and division of coronary to pulmonary artery fistula x3. 3. epiaortic duplex scanning. 4. endoscopic left greater saphenous vein harvesting. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor 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 complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. she went into a fib postop and converted to sr with amiodarone. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: :xanax 0.25 mg tid prn, aspirin 81 mg daily, prozac 40 mg daily, synthroid 100 mcg daily, lovastatin 40 mg daily discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*1* 3. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). disp:*60 capsule(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 6. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours): prn for pain. disp:*240 tablet(s)* refills:*2* 7. amiodarone 200 mg tablet sig: one (1) tablet po twice a day: 400mg x 7 days, then 400mg daily x 7 days, then 200mg daily. disp:*90 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 20 meq packet sig: one (1) packet po once a day for 1 weeks. disp:*7 packet(s)* refills:*0* 10. lovastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 12. alprazolam 0.25 mg tablet sig: one (1) tablet po three times a day as needed for anxiety. disp:*60 tablet(s)* refills:*0* 13. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: coronary artery disease s/p cabg x4/ closure lad/pa and rca/pa fistulas postop a fib severe anxiety and depression morbid obesity - but has lost 200 lbs diabetes mellitus type 2 hypertension hyperlipidemia tobacco abuse sleep apnea prior to weight loss - no episodes recently hypothyroidism tia vs cva - with aphasia that lasted 1 month impaired renal function chronic bronchitis rt foot s/p fx after fall past surgical history carpal tunnel tubal ligation pinning of her right hand left knee arthroscopic discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage leg- c/d/i, trace edema 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 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 **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: you are scheduled for the following appointments: surgeon dr. , 1:00pm cardiologist dr. () ( @ 10:40 am please call to schedule the following: primary care in weeks dr. ( **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 repair of aneurysm of coronary vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia unspecified disorder of kidney and ureter other aneurysm of heart arteriovenous fistula of pulmonary vessels 

Answer: The patient is high likely exposed to