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: past medical history: 1. coronary artery disease. 2. infrarenal aaa 4.8 by 4.4 cm. 3. hypertension. 4. status post cva/tia. 5. status post bilateral carotid endarterectomies in . 6. history of hyperlipidemia. 7. history of chronic renal insufficiency with a creatinine of 1.7 to 2 baseline. 8. history of noninsulin-dependent diabetes. 9. status post pacer placement. 10. status post appendectomy. admission medications: 1. uniretic 15/25 one p.o. q.d. 2. lipitor 10 mg p.o. q.d. 3. toprol xl 25 mg p.o. q.d. 4. coumadin 4 mg p.o. q.d. 5. albuterol two puffs q.a.m. allergies: the patient has no known drug allergies. social history: he lives alone. he quit smoking in and does not drink alcohol. review of systems: unremarkable. physical examination on admission: general: he is an elderly white male in no apparent distress. vital signs: stable, afebrile. heent: normocephalic, atraumatic. the extraocular movements were intact. the oropharynx was benign. neck: supple, full range of motion. no lymphadenopathy or thyromegaly. carotids were 2+ and equal bilaterally without bruits. lungs: clear to auscultation and percussion. abdomen: soft, nontender with positive bowel sounds and a pulsatile mass. he also had a balloon pump in place. extremities: without clubbing, cyanosis or edema. pulses were 2+ and equal bilaterally throughout except the dp and pt were only doppler flow. hospital course: the patient was admitted for cardiac catheterization. the patient underwent cardiac catheterization on . the left main revealed mild distal disease, lad had a proximal 95% stenosis, was heavily calcified with serial 80% mid and distal stenoses, left circumflex had a proximal 90% stenosis at the bifurcation of the left circumflex and om1 with a questionable occluded proximal marginal midvessel 80% left circumflex disease. the rca had serial diffuse 50-60% stenosis with midvessel 80% stenosis. he had a balloon pump placed in the catheterization laboratory and dr. was consulted. he had carotid ultrasounds done which revealed no evidence of stenosis. on , the patient underwent a cabg times three with lima to the lad, reverse saphenous vein graft to om, reverse saphenous vein graft to rpda. the cross clamp time was 54 minutes. total bypass time 80 minutes. he was transferred to the csiu on neo, milrinone, and propofol. he was extubated on postoperative night and he was still on his milrinone and neo. he also had his pacemaker interrogated and the atrial lead was not working appropriately. he will have this dealt with as an outpatient. he went back into his chronic atrial fibrillation. he was slowly improving. on postoperative day number two, he had acute hypoxia and pulmonary was consulted. they recommended inhaled steroids. following this consult, he had hemoptysis. he had an urgent intubation and had large clots removed from his airway. he had hypotension at this time as well. he was re-swanned. his cardiac index was stable. this hemoptysis resolved eventually and he remained sedated and had a slow milrinone wean for the next couple of days. he was extubated again on postoperative day number five and required aggressive respiratory therapy. he had his chest tubes discontinued on postoperative day number six. his milrinone was discontinued as well. he was on levofloxacin for his secretions. he slowly improved, weaning off his 02 requirement. on postoperative day number nine, he was transferred to the floor in stable condition. he continued to improve and was diuresed. he was also started on nutritional supplements and he continued to improve. on postoperative day number 13, he was discharged to rehabilitation in stable condition. laboratory data on discharge: hematocrit 29.4, white count 13,300, platelets 347,000. sodium 139, potassium 4.1, chloride 104, c02 27, bun 50, creatinine 1.9, blood sugar 91. pt 15, inr 1.5. discharge medications: 1. lipitor 10 mg p.o. q.d. 2. albuterol mdi one to two puffs q.a.m. 3. combivent one to two puffs q.i.d. p.r.n. 4. amiodarone 400 mg p.o. b.i.d. times seven days and then decrease to 400 mg p.o. q.d. times seven days and then decrease to 200 mg p.o. q.d. 5. coumadin 1 mg p.o. q.d. for an inr goal of 1.5 to 2. 6. lasix 20 mg p.o. b.i.d. for seven days. 7. 20 meq p.o. q.d. for seven days. 8. neosporin ophthalmic ointment four times a day to both eyes for seven days. follow-up: the patient will be followed by dr. in one to two weeks, dr. in two to three weeks, and dr. in six weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other electric countershock of heart arteriography of other intrathoracic vessels implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery unspecified pleural effusion congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation mechanical complication due to cardiac pacemaker (electrode) 

Answer: The patient is high likely exposed to