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: patient recorded as having no known allergies to drugs attending: chief complaint: exertional angina major surgical or invasive procedure: cabg x5 (lima-lad, svg om, svg to ri, svg to pda, svg to diag) history of present illness: mr. is a 68 year old male who underwent tissue aortic valve replacement in medical center. while recovering in in , he experienced left sided chest pain at rest. cardiac catheterization revealed significant multivessel coronary artery disease with preserved ef. cardiac surgeon in recommended surgical revascularization but he has decided to return to for medical care. since , he has experienced no further chest pain. he currently admits to exertional shortness of breath and increasing fatigue. he denies orthopnea, pnd, pedal edema and syncope. past medical history: past medical history: history of aortic valve disease, coronary artery disease, hypertension, hyperlipidemia, history of prostate ca-tx w/seed implants, history of exposure, asthma past surgical history: - aortic valve replacement (#23 ce bovine pericardial) - right lower extremity trauma - shrapnel removal from finger/hand - uretheral dilitation social history: race: caucasian lives with: alone occupation: retired military(marines), now investment broker tobacco: remote cigar, denies cigarettes etoh: social, no h/o abuse drugs: denies family history: family history: father died of mi at 66 physical exam: physical exam vitals: obtained at pat today general: wdwn male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur - soft systolic murmur which radiated to carotids abd: soft non-distended non-tender bowel sounds extremities: warm , well-perfused edema: none varicosities: none neuro: alert and oriented x3. cn 2-12 gorssly intact. 5/5 strength in all extremities. from. no focal deficits noted pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 2 carotid bruit: transmitted murmurs noted pertinent results: intra-op echo: pre-bypass: the left atrium and right atrium are normal in cavity size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. a bioprosthetic aortic valve prosthesis is present. the aortic valve prosthesis leaflets appear to move normally. the mean transaortic gradient is 13 mm hg at a cardiac output of 5.5 l/min and is normal.. mild (1+) transvalvular aortic regurgitation is seen with no paravalvular regurgitation. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post-bypass: the patient is receiving no inotropic support post-cpb. biventricular systolic function is preserved and all findings are consistent with pre-bypass findings. the aorta is intact post-decannulation. all findings were communicated to the surgeon intraoperatively. brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent cabg x5 (lima-lad, svg om, svg to ri, svg to pda, svg to diag). overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. on pod #1 the patient weaned and extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or 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. by the time of discharge on pod four 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: plavix 75 daily(last dose ), asa 325 daily, simvastatin 20 daily, metoprolol 50 twice daily, diovan 80 daily, advair 100/50 daily, proventil prn discharge medications: 1. simvastatin 40 mg tablet sig: 0.5 tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 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. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 5. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation daily (daily). 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: two (2) tablet po once a day for 7 days. disp:*14 tablet(s)* refills:*2* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: cabg x5 (lima-lad, svg om, svg to ri, svg to pda, svg to diag) past medical history: history of aortic valve disease, coronary artery disease, hypertension, hyperlipidemia, history of prostate ca-tx w/seed implants, history of exposure, asthma, aortic valve replacement (#23 ce bovine pericardial), right lower extremity trauma, shrapnel removal from finger/hand, uretheral dilitation discharge condition: alert and oriented x3, nonfocal. ambulating with steady gait. incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema: trace discharge instructions: shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage. 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, until follow up with surgeon. no lifting more than 10 pounds for 10 weeks. please call with any questions or concerns (). females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge of sternal wound. **please call cardiac surgery office with any questions or concerns (). answering service will contact on call person during off hours.** followup instructions: you are scheduled for the following appointments surgeon: dr. on 1:15pm please call to schedule appointments with your primary care: dr. chin in weeks cardiologist: dr. in weeks **please call cardiac surgery office with any questions or concerns (). answering service will contact on call person during off hours.** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of malignant neoplasm of prostate asthma, unspecified type, unspecified other and unspecified hyperlipidemia other and unspecified angina pectoris heart valve replaced by transplant long-term (current) use of aspirin 

Answer: The patient is high likely exposed to