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: stroke major surgical or invasive procedure: single vessel coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending artery; with closure of patent foramen ovale by direct suturing. history of present illness: mr. is a 63 year old male in history of two previous strokes in and . his only remaining deficit is numbness in his left fifth finger. he has been on coumadin since . a tee in at the was notable for a patent foramen ovale with right-to-left passage of agitated saline post valsalva relsease. there was simple atheroma in the aortic arch and descending thoracic aorta without evidence of intracardiac thrombus. further evaluation in included a carotid ultrasound which found minimal plaque in both internal carotid arteries and a brain mri which showed evidence of infarctions in the right hemisphere. there was no evidence of aneurysm or obstruction. based on the above results, he was referred for cardiac surgical intervention. past medical history: patent foramen ovale, coronary artery disease, history of cerebral vascular attacks, hypertension, hyperlipidemia, history of nephrolithiasis, prior hernia repair social history: no tobacco history. denies excessive etoh. married with children. works at the . denies recreatinal drugs. family history: father had a stroke at age 69. physical exam: vitals: t: afebrile, bp 100-110/60, p 61, rr 16, sat 96% ra general: well develped male in no acute distress heent: perrl; sclera anicteric and non-injected; oropharynx benign neck: supple, no jvd, no carotid bruits heart: regular rate, no murmur or rubs lungs: clear bilaterally abdomen: benign ext: warm, no edema pulses: 1+ distally neuro: alert and oriented; no focal deficits noted pertinent results: 07:20am blood wbc-10.8 rbc-3.20* hgb-10.1* hct-29.0* mcv-91 mch-31.7 mchc-34.9 rdw-14.0 plt ct-305# 04:52pm blood wbc-7.7 rbc-4.42* hgb-13.8* hct-39.5* mcv-89 mch-31.1 mchc-34.8 rdw-13.0 plt ct-203 07:20am blood glucose-135* urean-21* creat-1.2 na-139 k-4.8 cl-101 hco3-31 angap-12 04:52pm blood glucose-124* urean-40* creat-1.6* na-138 k-5.0 cl-98 hco3-29 angap-16 04:27pm blood calcium-8.7 phos-2.9 mg-2.1 brief hospital course: mr. was admitted for heparinzation and cardiac catheterization which was performed . coronary angiography revealed a right dominant system. the lmca showed no angiographically apparent flow-limiting stenoses. the lad showed a discrete 90% proximal stenosis without significant disease in the rest of the lad or diagnal system. the lcx and rca showed no apparent significant stenoses. based on the above results, surgical approach changes from minimally invasive to median sternotomy. mr. course was otherwise uneventful. he remained stable on intravenous heparin. on , dr. performed single vessel coronary artery bypass grafting with closure of pfo. surgery was uncomplicated and he was brought to the csru in stable condition. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics and transferred to the sdu on postoperative day one. most of his medications were resumed. all chest tubes and wires were removed without complication. low dose beta blockade was initiated and advanced as tolerated. he worked daily with physical therapy and made steady progress. on pod 2 his chest x-ray was reviewed and no significant pneumothorax or acute pulmonary disease was appreciated, his chest tubes and mediastinal tubes were removed. post procedural chest x-rays demonstrated significant pneumothorax in the right thorax. the patient remained asymptomatic and had no decrease in his spo2. he subsequently had a right thoracotomy with chest tube placement and suction. he remained stable throughout his procedure. post procedural x-rays showed marked reduction of his pneumothorax without any changes clinically. he progressed rapidly during pod with ambulation and the ability to climb a flight of stairs without difficulty. on pod 7 his chest tube was clamped and the patient was monitored for symptoms. a chest x-ray showed minimal residual right apical pneumothorax, he was asymptomatic after clamping of the tubes. his chest tube was removed without complication and an additional chest x-ray was taken showing no change in a minimal apical pneumothorax and possible minimal right mediastinal pneumothorax. at discharge, his blood pressure was 102/60, heart rate was sinus in the 70's with room air saturations of 95%. his discharge chest x-ray was notable for residual right apical and right mediastinal pneumothoracies without any clinical manifestations. mr was discharged on in good condition to home on a heart healthy diet with sternal precautions and limited activity. his coumadin was discontinued in consulation with dr. and he will be anticoagulated with aspirin 325mg po qd. he will follow up with dr. in four weeks, dr. in two or three weeks, and dr. in two weeks. medications on admission: aspirin 81 qd, lisinopril 10 qd, hctz 25 qd, lipitor 80 qd, warfarin 5 mg qd, zetia 10 qd discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 4. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). 5. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 8. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 10. aspirin ec 325 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:*2* discharge disposition: home with service facility: discharge diagnosis: patent foramen ovale, coronary artery disease, history of cerebral vascular attacks, hypertension, hyperlipidemia, history of nephrolithiasis discharge condition: good discharge instructions: shower, wash incisions with mild soap and water and pat dry. no lotions, creams or powders to incisions. call with fever, redness or drainage from incision, or weight gain more than 2 pounds in one day or five pounds in one week. no lifting more than 10 pounds. no driving until follow up with surgeon. followup instructions: dr. in weeks dr. (pcp)in weeks dr. in weeks procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery other and unspecified repair of atrial septal defect monitoring of cardiac output by other technique removal of thoracotomy tube or pleural cavity drain diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia iatrogenic pneumothorax ostium secundum type atrial septal defect personal history of other diseases of circulatory system personal history of urinary calculi 

Answer: The patient is high likely exposed to