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: dyspnea on exertion and fatgue major surgical or invasive procedure: cabgx1 (lima->lad), mvr (#29 pericardial) history of present illness: mr. a 73 year old male with congestive heart failure. he has at least a one year history of chest pain, dyspnea on exertion and increasing fatigue. cardiac catheterization in showed two vessel coronary artery disease, severe mitral regurgitation and normal ventricular function. selective coronary angiography of his right dominant system showd a 60% lesion in the mid lad and an 80% stenosis in plv vessel of the rca. lv ventriculogram demonstrated preserved ejection fraction with no lv focal wall abnormalities. severe (4+) mitral regurgitation was noted. his severe mr and normal lv function was confirmed by echocardiogram. prior to cardiac surgical intervention, he sucdcessful stenting on his left internal carotid artery in late . past medical history: chf - 3+ mr, ef 55% carotid disease - s/p stenting of htn dm2 lbp elevated cholesterol hyperparathyroidism rcc s/p l partial nephrectomy, no chemo aaa bph s/p turp s/p ccy kidney stones social history: married, russian only speaking and lives with his wife who works at and translates for him. has one daughter and two granddaughters. his daughter will drive them to and from the hospital. family history: noncontributory - no premature cad physical exam: vitals: bp 103/49, hr 70, rr 14, general: elderly male in no acute distress heent: oropharynx benign, neck: supple, no jvd, transmitted murmur to carotid noted heart: regular rate, normal s1s2, holosystolic murmur lungs: clear bilaterally abdomen: obese, soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 1+ distally neuro: alert and oriented, nonfocal pertinent results: 07:10am blood wbc-6.5 rbc-3.80* hgb-11.1* hct-31.6* mcv-83 mch-29.3 mchc-35.2* rdw-16.8* plt ct-193 07:10am blood glucose-158* urean-20 creat-1.4* na-138 k-4.8 cl-101 hco3-30 angap-12 07:55am blood mg-1.5* brief hospital course: on admission, mr. a mitral valve replacement and single vessel coronary artery bypass grafting by dr. . for surgical details, please see seperate operative note. following the operation, he was brought to the csru for invasive monitoring. he initially required multiple blood products for a postoperative coagulopathy. once his bleeding improved, he was weaned from sedation and awoke neurologically intact. he was extubated without incident. he was initially kept npo and required an ng tube for abdominal distention. kub at that time was notable for large amounts of stool but no signs of an ileus. with stool softeners, suppositories and ambulation, his abdominal distention improved. his diet was slowly advanced and ng tube was eventually removed without further complication. while in the csru, he experienced intermittent agitation, requiring haldol. over several days however, his neurological status improved without further need on haldol. he otherwise maintained stable hemodynamics and eventually transferred to the telemetry floor on postoperative day four. beta blockade was resumed and advanced as tolerated. he remained in a normal sinus rhythm with first degree av block. no atrial or ventricular arrhtyhmias were noted. the center was consulted to assist with the postoperative management of his diabetes mellitus. with gentle diuresis, he continued to make clinical improvements. over several days, medical therapy was optimized and he made steady progress with physical therapy. he was cleared for discharge to home on postperative day seven. at discharge, his bp was 120/60 with a hr of 75. his room air saturations were 94% and his discharge chest x-ray was notable for only small bilateral pleural effusions and a tiny, stable left apical pneumothorax which was stable from several days prior. his blood sugars were better controlled and all surgical wounds were clean, dry and intact. medications on admission: asa 81 qd, lopressor 12.5 , lipitor 20 qd, plavix 75 qd, lisinopril 30 qd, lasix 80 , metformin 1000 discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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:*0* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. lasix 80 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 9. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* discharge disposition: home with service facility: family & services discharge diagnosis: cad/mr - s/p mvr/cabg tiny left apical ptx - stable prostate ca renal ca htn hypercholesterolemia dm gerd chf bph bladder stones hperparathyroidism incisional hernia s/p turp s/p l partial nephrectomy s/p chole s/p cystoscopy s/p lithotripsy s/p prostate folgeration s/p carotid stent discharge condition: good. discharge instructions: shower, no baths, no lotions, creams or powders. no lifting morethan 10 pounds or driving. call with fever, change in incision, or weight gain more than 2 pounds in one day or five in one week followup instructions: dr. 4 weeks dr. 2 weeks cardiologist 2 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery open and other replacement of mitral valve with tissue graft transfusion of packed cells transfusion of other serum transfusion of platelets continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of aorta personal history of malignant neoplasm of prostate hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) hemorrhage complicating a procedure iatrogenic pneumothorax personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to