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: - 1. excision of left atrial tumor? myxoma. 2. coronary artery bypass grafting x4; left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the posterior descending artery, marginal branch, diagonal branch. - cardiac catheterization history of present illness: 76 year old gentleman with a new finding of a likely cardiac myxoma on echocardiogram. the myxoma was discovered incidently on a routine echocardiogram as part serial echo's to evaluate aneuryms due to aortic anuerysm history in family. of note, he does state that he had a normal echocardiogram 2 years prior in which no myxoma was noted. he did note recent chest pain. he now presents from for surgical evaluation. past medical history: hyperlipidemia hypertension diabetes mellitus social history: last dental exam: several years lives with: wife. contact: wife or daughter phone # occupation: security guard cigarettes: smoked no yes last cigarette _____ hx: remote other tobacco use: - etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use: - family history: denies premature coronary artery disease. he has 12 siblings of which 7 are deceased. physical exam: pulse: 75 resp: 16 o2 sat: 100% b/p right: 151/85 left: 151/81 height: 5'" weight: 180lbs general: well-developed male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade 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: - left: - pertinent results: cardiac cath 1. selective coronary angiography of this right dominant system demonstrated severe three vessel disease. the lmca had a 70% lesion at the distal bifurcation. the mid-lad had an 80% lesion after the large d2. the small d1 had a 90% stenosis. the lcx had an ostial 80% lesion. the rca had a proximal 90% stenosis. 2. limited resting hemodynamics revealed normal systemic systolic arterial pressures, with central aortic pressure of 121/66, mean 89 mmhg. . echo: pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. a mass consistent with a myxoma or tumor is seen in the body of the left atrium. the mass measures 2.3 cm x 2.8 cm and is attached to the rim of the fossa ovalis. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is in sinus rhythm. the patient is on no inotropes. biventricular function is unchanged. the left atrial mass is no longer present. mitral regurgitation is unchanged. the aorta is intact post-decannulation. lvef 55%. . chest x-ray: heart size is slightly enlarged, stable. mediastinal silhouette is unchanged. bilateral pleural effusions are noted, small to moderate, left more than right. overall, the appearance is stable as compared to . there is no pneumothorax demonstrated. small bibasilar areas of atelectasis are present, improved since the prior examination. . 05:00pm blood wbc-8.9 rbc-5.32 hgb-15.4 hct-46.8 mcv-88 mch-29.0 mchc-33.0 rdw-14.5 plt ct-191 05:00am blood wbc-8.8 rbc-3.18* hgb-9.2* hct-27.7* mcv-87 mch-28.9 mchc-33.2 rdw-14.1 plt ct-161 05:00pm blood pt-10.3 ptt-31.8 inr(pt)-0.9 04:33am blood pt-13.4* ptt-29.2 inr(pt)-1.2* 05:00pm blood urean-20 creat-1.1 na-143 k-4.5 cl-104 hco3-33* angap-11 05:00am blood glucose-100 urean-20 creat-1.0 na-138 k-4.3 cl-100 hco3-31 angap-11 10:45am blood alt-20 ast-19 alkphos-59 amylase-44 totbili-0.6 04:33am blood calcium-8.1* phos-2.6* mg-2.0 05:00am blood mg-2.3 brief hospital course: mr. was admitted to the on for surgical management of his atrial myxoma. he underwent a cardiac catheterization which revealed severe three vessel disease. he was worked-up in the usual preoperative manner and on he was taken to the operating room where he underwent four vessel bypass and resection of his atrial myxoma. please see operative note for details. he tolerated the operation well and postoperatively was taken to the intensive care unit for monitoring. over the next several hours, he awoke neurologically intact and was extubated. on postoperative day one, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. all tubes lines and drains were removed per cardiac surgery protocol. he worked with nursing and physical therapy service was consulted for assistance with his postoperative strength and recovery. he continued to make steady progress and was discharged home with visiting nurse services on pod five with the appropriate medications and follow-up appointments. medications on admission: metformin 500 mg daily crestor 20mg daily aspirin 81mg 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. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metformin 500 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 8. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po twice a day for 10 days. disp:*20 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 excision of left atrial tumor past medical history: hyperlipidemia hypertension diabetes mellitus discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema: trace bilat 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: wound care: at 10:45am phone: surgeon: dr. on at 1:15pm phone: cardiologist: dr. at on at 2:00pm 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** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization excision or destruction of other lesion or tissue of heart, open approach diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia benign neoplasm of heart 

Answer: The patient is high likely exposed to