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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization repair of anomalous right coronary artery from pulmonary artery by reimplantation into ascending aorta. repair of the pulmonary artery with a bovine pericardial patch mediastinal re-exploration for bleeding emergency mediastinal exploration for cardiac tamponade and repair of tear in the acute marginal branch of the right coronary artery induced by pacing wire removal history of present illness: 42 year old male with history of polysubstance abuse and ptsd, current smoker who presents with chest pain. he reports that the chest pain started this morning at 2am. it was located in the left anterior chest and radiated to his neck, not back. it was severe and lasted for approximately an hour. nothing seemed to make it better, no change with position or deep inspiration. he sat up and rested for a while and eventually it went away. he went to his pcp's office this morning and again had chest pain. it developed while he was on the subway. it was worse with walking around. he reported some associated nausea, sob and dizziness. his pcp did an ekg and was concerned re: ste in v2 & v3; unfortunately, this ekg was not sent with the patient to the ed. he was given aspirin 325mg and ntg at pcp's office with no relief of cp per patient. the chest pain did not go away until he was in the ed and got some morphine. of note, patient reports that his last cocaine use was 4 days prior to admission past medical history: polysubstance abuse, most recent crack cocaine use was 1.5 months ago history of depression and ptsd social history: works in landscaping lives with girlfriend history: currently smokes ppd etoh: currently drinks 1 beer/day illicit drugs: cocaine, last used 4 days ago. family history: non-contributory physical exam: admission physical exam vs: t= 97.5 bp= 124/39 hr= 53 rr= 16 o2 sat= 98% ra. general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6 cm. cardiac: cp reproducible when palpating on the left sternal border. pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: radial, dp 2+ left: radial, dp 2+ pertinent results: admission labs 02:01pm blood wbc-5.1 rbc-4.59* hgb-14.4 hct-42.2 mcv-92 mch-31.3 mchc-34.1 rdw-12.7 plt ct-198 02:01pm blood neuts-71.9* lymphs-21.0 monos-3.1 eos-3.5 baso-0.6 02:01pm blood pt-13.6* ptt-28.0 inr(pt)-1.2* 02:01pm blood glucose-94 urean-11 creat-1.2 na-136 k-5.3* cl-103 hco3-26 angap-12 07:45am blood glucose-89 urean-10 creat-1.0 na-139 k-3.7 cl-104 hco3-27 angap-12 . drug screen 12:17am urine bnzodzp-neg barbitr-neg opiates-pos cocaine-pos amphetm-neg mthdone-neg . cardiac enzymes 02:01pm blood ctropnt-<0.01 09:15pm blood ck-mb-10 mb indx-4.3 ctropnt-0.12* 07:45am blood ck-mb-2 ctropnt-<0.01 . imaging coronary ct structure and function the myocardium appeared to have homogenous signal intensity without evidence of abnormal perfusion. the pericardial thickness was normal. the diameters of the ascending and descending thoracic aorta were normal. the main pulmonary artery diameter was normal. the left atrial ap dimension was mildly increased. the left ventricular end-diastolic dimension was moderately increased. the end-diastolic volume was moderately increased. the calculated left ventricular ejection fraction was normal at 65% with normal regional systolic function. the anteroseptal and inferolateral wall thicknesses were normal. the left ventricular mass was normal. . coronary imaging ct coronary angiography revealed an anomalous origin of a dominant right coronary artery from the pulmonary artery. the right coronary artery was increased in size but not aneurismal. the origin and orientation of the left main coronary artery was normal. the left main was increased in size but not aneurismal. the left main trifurcated into the lad, lcx and ramus intermedius without evidence of disease. the lad was increased in size but not aneurismal, with large septal branches and multiple bridging collaterals to the right coronary artery. the lad had 1 diagonal branch and was free of disease. the lcx had 1 om branch and was free of disease. the calcium score was 0. . additional findings please see the separate chest ct report for any additional findings. . impression: 1. moderately increased left ventricular cavity size with normal regional left ventricular systolic function. the lvef was normal at 65%. 2. the diameters of the ascending and descending thoracic aorta were normal. the main pulmonary artery diameter was normal. 3. mild left atrial enlargement. 4. anomalous right coronary artery arising from the pulmonary artery. normal origin and orientation of the left main, lad and lcx coronary arteries. increased size of the left main and lad coronary arteries with abundant left to right bridging collaterals. no evidence of cad. . 09:54am blood hct-26.8* 05:46am blood wbc-7.3 rbc-2.58* hgb-8.2* hct-22.8* mcv-89 mch-32.0 mchc-36.1* rdw-14.3 plt ct-231 12:30pm blood neuts-80.9* lymphs-13.0* monos-4.3 eos-1.4 baso-0.3 05:46am blood plt ct-231 02:31pm blood pt-13.4 ptt-26.6 inr(pt)-1.1 05:46am blood glucose-97 urean-13 creat-0.9 na-135 k-3.6 cl-101 hco3-29 angap-9 12:39am blood alt-44* ast-58* alkphos-43 amylase-44 totbili-0.6 07:45am blood alt-21 ast-24 ld(ldh)-132 ck(cpk)-157 alkphos-73 amylase-77 totbili-0.6 07:45am blood ck-mb-2 ctropnt-<0.01 12:39am blood lipase-17 indication: reimplantation of right coronary artery, postoperative day 6, decreasing hematocrit. comparison: radiographs dated back to and most recently . findings: right middle and lower lobe atelectasis, moderately large right pleural effusion, and moderate cardiomegaly are relatively unchanged since . blunting of the left costodiaphragmatic angle is consistent with small pleural effusion. median sternotomy wires and right internal jugular central venous catheter are unchanged. impression: persistent right middle and right lower lobe atelectasis and moderately large right pleural effusion. brief hospital course: presented to emergency department with chest pain and dynamic ekg changes. he underwent workup that revealed anomalous origin of a dominant right coronary artery from the pulmonary artery found on cardiac catheterization. due to no coronary artery disease the chest pain was considered possibly due to coronary spasm with recent cocaine use, with positive toxicology screen. he was referred for surgical intervention due to ongoing chest pain assumed from anomalous right coronary artery. on he was brought to the operating room for replacement of rca and repair of pa with patch, see operative report for further details. he was transferred to the intensive care unit for postoperative management. he had increased chest tube output and was taken back to the operating room for mediastinal exploration, see operative report for further details. after returning from operating room he improved and was weaned off pressors over the next 24 hours. additionally he was weaned from sedation, awoke neurologically intact, and was extubated without complications. he continued to progress and was transferred to the floor on postoperative day two, however on postoperative day three his epicardial wires were removed with acute onset of chest pain and hypotension. echocardiogram was obtained which revealed right ventricular collapse and he was transferred to the intensive care unit and then the operating room for emergent mediastinal exploration, see operative report for further details. he was weaned and extubated without complications, and was monitored for bleeding. he continued to progress clinically and was transferred to the floor two days after exploration. betablockers were stopped due to recent cocaine use and risk for coronary spasm, and he was started on cardiazem for rhythm management. he was ready for transfer to on with continued telemetry monitoring. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 5. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 6. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety: reduced from 1 mg to 0.5 mg on please continue to titrate down and discontinue . 7. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain: last decreased from 4 mg to 2mg on - please continue to decrease and then discontinue . 8. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 9. white petrolatum-mineral oil cream sig: one (1) appl topical (2 times a day) as needed for le dry skin. 10. diltiazem hcl 180 mg capsule, extended release sig: one (1) capsule, extended release po daily (daily). 11. peripheral iv right forearm - please flush per protocol discharged with iv due to telemetry 12. bupropion hcl 150 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po qam (once a day (in the morning)): increase to twice a day . discharge disposition: extended care discharge diagnosis: anomalous origin of a dominant right coronary artery from the pulmonary artery s/p replacement of rca and repair of pa with patch coronary spasm due to cocaine use post traumatic stress disorder polysubstance abuse depression discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid prn anxiety managed with ativan prn smoking cessation wellbutrin incisions: sternal - healing well, no erythema or drainage edema - none discharge instructions: please 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 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** followup instructions: you are scheduled for the following appointments surgeon: dr 1:15 cardiologist: dr 9:20 please call to schedule appointments with your primary care dr in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: extracorporeal circulation auxiliary to open heart surgery left heart cardiac catheterization coronary arteriography using a single catheter reopening of recent thoracotomy site repair of blood vessel with tissue patch graft other operations on vessels of heart other operations on vessels of heart diagnoses: intermediate coronary syndrome tobacco use disorder depressive disorder, not elsewhere classified cocaine abuse, unspecified accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiac tamponade posttraumatic stress disorder coronary artery anomaly 

Answer: The patient is high likely exposed to