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: shellfish attending: chief complaint: exertional angina major surgical or invasive procedure: coronary artery bypass grafting x3 with: left internal mammary artery to left anterior descending artery, saphenous vein graft to obtuse marginal artery, saphenous vein graft to posterior descending artery history of present illness: 67 year old man with known coronary artery disease-s/p stents x 6(2004x5 and ) who developed exertional angina while walking . angina resolved w/ rest after few minutes. angina recurred , patient was brought to med ctr where enzymes were negative. he had cardiac catheterization which showed: tapering distal lm,70% osteal lad,90% mid rca. lvef 60% by lvgram. he was then transferred to for surgical management of his coronary artery disease. at the time of transfer he was pain free. past medical history: coronary artery disease(pci/stents x6), hypertension, hypercholesterolemia, ca- left vocal cord(rt/chemo) psh:left knee arthroscopy, left chest portacath social history: works as administrator at . married, 2 children. tob: former smoker, quit 30 yrs ago. etoh: drinks a few beers or cocktails per night. no drugs family history: brother: mi at 60, uncle: mi at 50 mother: htn physical exam: pulse: resp: o2 sat: b/p right:130/72 left: 128/72 height: 70" weight:175# general:wdwn, nad skin: dry intact heent: perrla eomi glasses neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur n abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right:n left:n pertinent results: admission labs: 04:05pm pt-11.7 ptt-23.8 inr(pt)-1.0 04:05pm plt count-199 04:05pm neuts-78.7* lymphs-9.6* monos-5.6 eos-5.6* basos-0.5 04:05pm wbc-6.9 rbc-3.93* hgb-14.0 hct-38.2* mcv-97# mch-35.6* mchc-36.6* rdw-13.5 04:05pm %hba1c-5.2 eag-103 04:05pm albumin-4.1 magnesium-1.7 04:05pm alt(sgpt)-36 ast(sgot)-24 ld(ldh)-148 alk phos-100 tot bili-2.0* 04:05pm glucose-123* urea n-14 creat-1.0 sodium-137 potassium-4.2 chloride-100 total co2-27 anion gap-14 04:33pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 04:33pm urine color-yellow appear-clear sp -1.020 discharge labs: radiology report chest (portable ap) study date of 7:29 am final report: comparison with study of , all of the monitoring and support devices have been removed except for the left subclavian catheter and the right ij sheath. with the chest tube removed, there is no evidence of pneumothorax. residual opacification at the left base is consistent with atelectasis and effusion. echocardiography report echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% >= 55% findings right atrium/interatrial septum: color-flow imaging of the interatrial septum raises the suspicion of an atrial septal defect, but this could not be confirmed on the basis of this study. left ventricle: normal regional lv systolic function. overall normal lvef (>55%). right ventricle: borderline normal rv systolic function. aortic valve: three aortic valve leaflets. no as. trace ar. mitral valve: no ms. mild (1+) mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. pericardium: small pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions focused intraoperative tee during chest exploration for post-operative bleeding. color-flow imaging of the interatrial septum raises the suspicion of an atrial septal defect, but this could not be confirmed on the basis of this study. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). borderline normal rv free wall function. there are three aortic valve leaflets. there is no aortic valve stenosis. trace aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. there is a small pericardial effusion. dr. was notified in person of the results. brief hospital course: mr was transferred fro med ctr for surgical management of his coronary artery disease. after the usual pre-operative workup he was brought to the operating room for coronary artery bypass grafting on . please see the operative report for details. in summmary he had: coronary artery bypass grafting x3 with lwft internal mammary artery to left anterior descending artery, saphenous vein graft to obtuse marginal artery, and saphenous vein graft to posterior descending artery. his cardiopulmonary bypass time was 51 minutes with a crossclamp time of 39 minutes. he tolerated the operation well and post-operatively was transferred to the cardiac surgery icu in stable conditio. he remained hemodynamically stable in the immediate post-op period. he woke from anesthesia neurologically intact and was extubated on the operative day. on pod1 he continued to have significant drainage from his chest tubes and was brought back to the operating room for mediastinal exploration-no source of bleeding was found. he tolerated this procedure well and was again returned to the cardiac surgery icu in stable condition. he recovered from anesthesia and was extubated shortly after the surgery was completed. he remained hemodynamically stable throughout this period. all tubes lines and drains were removed per cardiac surgery protocol. on pod 3 he was transferred from the icu to the stepdown floor for continued post-op care and recovery. physical therapy worked with the patient to advance his activities of daily living and to improve strength and endurance. pod # 4, pt develope some drainage from his sternal incision. he was started on iv vancomycin. betadine was cleanse tid was started. from pod # , pts wound improved. he is to be discharged on po keflex x 10 days. his wound on dc is without drainage. on pod 10 was discharged home with visiting nurses. he is to follow up with dr in 3 weeks, he has a sternal check on 6. he is to follow up with his cardiologist, appt made, he was also instructed to follow up with his pcp. medications on admission: lisinopril 20mg daily, lipitor 80mg daily, plavix 75 mg , 325mg 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). disp:*60 capsule(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 4. lisinopril 20mg daily,ecasa 325mg daily,lopressor 25mg ,plavix 75mg daily,ntg prn,lipitor 80mg daily 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 8. potassium chloride 8 meq tablet extended release sig: one (1) tablet extended release po twice a day for 7 days. disp:*14 tablet extended release(s)* refills:*0* 9. keflex 250 mg capsule sig: one (1) capsule po four times a day for 10 days. disp:*40 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary bypass grafting x3 pci/stents(6) pmh: hypertension, hypercholesterolemia, ca- left vocal cord(rt/chemo) psh:lt knee arthroscopy, lt chest portacath discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 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 on at 9am at cardiologist: on at 3pm please call to schedule appointments with your primary care dr , j. in weeks you have a wound check scheduled for at 1000 hrs, please come to 6 at this scheduled time. thw midlevelers will look at your wound to see if this is stable. **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication goal inr first draw results to phone fax procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries reopening of recent thoracotomy site diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension personal history of tobacco use percutaneous transluminal coronary angioplasty status hemorrhage complicating a procedure other and unspecified angina pectoris 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 personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to