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: history of present illness: the patient is a 76 year old non-diabetic white male with coronary artery disease, status post coronary artery bypass graft, congestive heart failure, with hypertension, end-stage renal disease on peritoneal dialysis, peripheral vascular disease, status post bilateral bypass grafts with multiple revisions on the left. he was seen by dr. in the office on for complaints of severe left calf claudication. the patient denied rest pain or ulceration. an outpatient arteriogram was scheduled on , with dr. . past medical history: 1. coronary artery disease; coronary artery bypass graft in . 2. congestive heart failure. 3. hypertension. 4. bilateral pneumonia. 5. tremor, hands, right greater than left, treated with primidone times two years with improvement. 6. end-stage renal disease on peritoneal dialysis. 7. peripheral vascular disease; status post bilateral lower extremity bypass graft with multiple revisions on the left. past surgical history: 1. left capped fem- bypass graft with dacron in , thrombectomy times two. 2. right sfa to popliteal bypass graft in . 3. pta of right bypass graft in . 4. left cfa to at with dacron in ; revision four months later. 5. jump graft from existing left fem-tib bypass graft to the dorsalis pedis using nonreversed right basilic vein in . 6. repair of vein graft stenosis times two in by dr. after tpa thrombolysis. 7. coronary artery bypass graft times three with right upper arm vein and right lower saphenous vein . family history: noncontributory. social history: the patient lives with his wife. quit smoking cigarettes about six years ago. he does not drink alcohol. allergies: no known drug allergies. admission medications: 1. digoxin 0.25 mg p.o. q. day. 2. atenolol 75 mg p.o. q. h.s. 3. losartan 50 mg p.o. q. day. 4. zocor 40 mg p.o. q. day. 5. k-dur 20 meq p.o. q. day. 6. nephrocaps one p.o. q. day. 7. rabeprazole 20 mg p.o. q. day. 8. aspirin 81 mg p.o. q. day. 9. mysoline 50 mg p.o. q. h.s. 10. metamucil two teaspoons p.o. three times a day. physical examination: vital signs with temperature of 97.0 f.; pulse is 58; respiratory rate 18; blood pressure 186/55; o2 saturation equals 98% on two liters nasal cannula. in general, alert, cooperative white male in no acute distress. heent: pupils equally and round. extraocular muscles are intact. neck: range of motion within normal limits. carotids palpable; no bruits. chest: heart is regular rate and rhythm without murmur. lungs clear bilaterally. abdomen soft, nontender. extremities with right sheath in place in right groin. feet warm. sensation and motor function intact bilaterally. pulse examination: femoral pulses palpable bilaterally. popliteal pulses nonpalpable bilaterally. right dorsalis pedis has a doppler signal. right posterior tibial and left pedal pulses have no doppler signals. admission laboratory: white blood cell count 13.1, hematocrit 39.7, platelets 201,000. creatinine 3.8, pt 12.8, inr 1.1. hospital course: the patient was admitted to the hospital following an arteriogram done by dr. . the left internal iliac artery and the left femoral to dorsalis pedis bypass graft were occluded. thrombolysis with tpa was started. post procedure, the patient's popliteal artery and bypass graft became palpable. there was a monophasic doppler signal of the left dorsalis pedis and posterior tibial pulses. about 24 hours later, the patient left his pedal doppler signals on the left. he was maintained on heparin at 5000 units per hour as well as the tpa. the patient denied any rest pain. the following day, , the arteriogram was repeated to assess the distal embolization. a #4 french sheath was placed in the bypass graft on the left and lysis of the dorsalis pedis artery with a 1 mg bolus of tpa was initiated. post procedure, the patient's left foot was warmer with increased capillary refill but the patient still had some foot pain. vein mapping of arms and legs was done. right cephalic vein was measured. left saphenous and basilic veins had been harvested. lesser saphenous veins were not visualized. the patient was transfused one unit of packed red blood cells for a hematocrit of 27.0. hematocrit at time of dictation is 29.0. anti-coagulation with coumadin was started. the patient was maintained on lovenox until the patient became therapeutic. at the time of dictation, the patient's inr was 4.0 after several days of 5 mg of coumadin. his dose of coumadin will be adjusted to maintain an inr of approximately 2.5. on , petechiae were seen on the patient's left foot. physical therapy assessed the patient and felt that in another day he would be safe to be discharged home. the patient was able to walk the hospital corridor fairly comfortably with some pain but much less than on admission. the renal service followed the patient and managed his peritoneal dialysis. at the time of dictation, the patient has a palpable left graft pulse and a doppler signal at the left dorsalis pedis. he will be instructed when to follow-up with dr. in the office at the time of discharge. he will have inr checked twice per week with results called in to dr. office and coumadin dose adjusted accordingly. discharge medications: 1. coumadin, dose to be determined at discharge. 2. digoxin 0.0625 mg p.o. q. day. 3. losartan 50 mg p.o. q. day; hold for systolic blood pressure less than 100. 4. atenolol 50 mg p.o. q. h.s.; hold for systolic blood pressure less than 100; heart rate less than 55. 5. simvastatin 40 mg p.o. q. day. 6. calcium carbonate 1500 mg p.o. three times a day with meals. 7. primidone 50 mg p.o. q. h.s. 8. psyllium one packet p.o. three times a day p.r.n. 9. nephrocaps, one p.o. q. day. 10. protonix 40 mg p.o. q. 24 hours. 11. colace 100 mg p.o. twice a day. 12. tylenol 325 to 650 mg p.o. every four to six hours p.r.n. 13. hydromorphone 3 to 4 mg p.o. q. three to four hours p.r.n. pain. 14. dulcolax 10 mg p.o. / p.r. q. day p.r.n. 15. epogen units subcutaneously q. wednesday. condition at discharge: satisfactory. disposition: home. primary diagnoses: 1. thrombosis of left femoral to dorsalis pedis bypass graft. 2. tpa thrombolysis of bypass graft on by dr. . 3. distal embolization with repeat tpa of left bypass graft and left dorsalis pedis on by dr. . secondary diagnoses: 1. blood loss anemia, transfused. 2. coronary artery disease. 3. hypertension. 4. hypercholesterolemia. 5. end-stage renal disease on peritoneal dialysis. , m.d. dictated by: medquist36 procedure: injection or infusion of thrombolytic agent arteriography of femoral and other lower extremity arteries peritoneal dialysis diagnoses: congestive heart failure, unspecified acute posthemorrhagic anemia aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) 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 other complications due to other vascular device, implant, and graft stricture of artery 

Answer: The patient is high likely exposed to