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: left heart catheterization, placement of intra aorrtic balloon 1. emergency coronary artery bypass graft x3 -- left internal mammary artery to left anterior descending artery and saphenous vein graft to obtuse marginal and posterior descending arteries. 2. endoscopic harvesting of the long saphenous vein. history of present illness: this 64 year old white male presented elsewhere with 3-4 weeks of progressive angina.he initially presented to - where he had a normal ekg but troponins were 0.04/0.113. he recieved 325mg asa. heparin was begun and he was transferred here. catheterization was done to demonstrate 95% proximal left main disease with thrombus. an intra aortic balloon was placed and surgical consultation was obtained. past medical history: dyslipidemia hypertension s/p right femoral endarterectomy and vein patch angioplasty with profundaplasty and right common femoral to above-knee popliteal artery. social history: worked as an offset printing specialist at tpi, married, lives with wife independent in adls/iadls -tobacco history: 40 pack year smoking history, quit 2 yrs ago -etoh: 3-4 beers daily -illicit drugs: none family history: mother died of mi at age of 82, father died of colon cancer at an advanced age. no other family history of mi or hld, or htn. physical exam: vs: t=97.1...bp=141/81...hr=55...rr=18...o2 sat=97% on ra general: well developed man 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 at mid-neck at 90 degrees cardiac: 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. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: intra-op tee conclusions pre-bypass: no spontaneous echo contrast 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. 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. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. there is an intra-aortic balloon pump in place with the tip 5 cm distal to the takeoff of the right sublclavian artery. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1:00 pm. post-bypass: the patient is on no inotropic infusions. biventricular function is unchanged. mitral regurgitation is unchanged. the aorta is intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:57 06:50am blood wbc-11.5* rbc-3.46* hgb-11.0* hct-33.0* mcv-95 mch-31.9 mchc-33.5 rdw-12.5 plt ct-209# 06:50am blood urean-14 creat-0.8 na-137 k-3.8 cl-103 brief hospital course: mr is a 65 year old man with several weeks of exertional angina that worsened on the day of admission, it was at this time that he presented to the emergency room in . he was transferred to for cardiac catheterization and found to have 95% thrombus of the left main coronary artery. an intra aortic balloon pump was placed, cardiac surgery was consulted and he was taken emergently to the operating room where revascularization was undertaken. please see the operative note for details, in summary he had: emergency coronary artery bypass graft times three with left internal mammary artery to left anterior descending artery and saphenous vein graft to obtuse marginal and posterior descending arteries. endoscopic harvesting of the long saphenous vein. his bypass time was 71 minutes and cross clamp time 61 minutes. he weaned from bypass in stable condition on neosynephrine and propofol with the iabp. he awoke, weaned from the ventilator and was extubated. the iabp was removed with out incident. 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 post-operative day four the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged in good condition with appropriate follow up instructions. medications on admission: confirmed with pharmacy lisinopril 40mg daily metoprolol tartrate 25mg daily amlodipine 10mg daily pravastatin 80mg daily asa 81mg discharge medications: 1. lasix 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*2* 2. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day for 10 days. disp:*10 tablet extended release(s)* refills:*2* 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. pravastatin 20 mg tablet sig: four (4) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 6. 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* discharge disposition: home with service facility: vna discharge diagnosis: left main coronary artery disease crescendo angina hypertension. hyperlipidemia s/p emergent coronary artery bypass s/p right femoral endarterecmy,vein patch angioplasty/profundaplasty,right femoral to popliteal graft 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 ***** 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. () date/time: 1:30 cardiologist/pcp: , at 2:00pm **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization implant of pulsation balloon diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery unspecified pleural effusion unspecified essential hypertension peripheral vascular disease, unspecified personal history of tobacco use other and unspecified hyperlipidemia chronic total occlusion of coronary artery family history of other cardiovascular diseases 

Answer: The patient is high likely exposed to