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: coronary artery disease major surgical or invasive procedure: coronary artery bypass grafts x 3(lima-lad,svg-om,svg-pda) history of present illness: this 56 year old white male underwent stress testing for a 5 year history of exertional angina, especially in the cold. this was positive and a cardiac catheterization demonstrated triple vessel disease with preserved ventricular function. he was referred for surgical revascularization. past medical history: appendectomy wrist ganglionectomies hypertension hyperlipidemia social history: race:caucasian lives with:wife occupation:homicide detective for the city of tobacco:denies - quit 30 years ago etoh:2 drinks per month family history: family history: father had an mi at age 50, brother had an mi at age 37 physical exam: admission: pulse:58 resp:16 o2 sat: 100/ra b/p right: 121/80 left: 118/70 height:5'" weight:215 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema 0 varicosities: +1 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: 0 left: 0 pertinent results: admission labs: 09:20am hgb-14.2 calchct-43 09:20am glucose-108* lactate-1.0 na+-137 k+-3.5 cl--100 12:50pm fibrinoge-187 12:50pm pt-15.0* ptt-28.1 inr(pt)-1.3* 12:50pm plt count-140* 12:50pm wbc-12.4*# rbc-3.30*# hgb-10.6*# hct-28.9*# mcv-87 mch-32.0 mchc-36.6* rdw-12.7 01:56pm urea n-14 creat-1.0 sodium-141 potassium-3.2* chloride-109* total co2-25 anion gap-10 discharge labs: 09:39am blood wbc-8.2 rbc-3.41* hgb-10.8* hct-30.1* mcv-88 mch-31.8 mchc-36.0* rdw-12.4 plt ct-113* 09:39am blood plt ct-113* 01:56pm blood pt-14.3* ptt-29.2 inr(pt)-1.2* 09:39am blood urean-13 creat-1.1 na-140 k-3.7 cl-101 09:39am blood mg-2.1 radiology report chest (portable ap) study date of 9:05 am medical condition: 56 year old man with s/p cabg, cts d/c'd final report left pleural effusion is tiny, if any. no pneumothorax. postoperative widening of the mediastinum, particularly in the anterior compartment at the level of the aortic arch is stable. heart size top normal, unchanged. right lung clear. echocardiography report echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.7 cm <= 4.0 cm left atrium - four chamber length: 5.0 cm <= 5.2 cm left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - ejection fraction: 55% to 65% >= 55% aorta - annulus: 2.1 cm <= 3.0 cm aorta - sinus level: 2.7 cm <= 3.6 cm aorta - sinotubular ridge: 2.5 cm <= 3.0 cm aorta - ascending: 3.1 cm <= 3.4 cm aortic valve - lvot diam: 1.9 cm findings left atrium: mild la enlargement. depressed laa emptying velocity (<0.2m/s) no thrombus in the laa. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. mildly depressed lvef. right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal ascending aorta diameter. focal calcifications in aortic arch. simple atheroma in descending aorta. no thoracic aortic dissection. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. 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. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-cpb: the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. overall left ventricular systolic function is mildly depressed, estimated ef = 45-50%. the right ventricular cavity is mildly dilated with normal free wall contractility. there are focal calcifications in the distal aortic arch. there is intimal thickening in the descending thoracic aorta. no thoracic aortic dissection is seen. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets appear normal. trivial mitral regurgitation is seen. post-cpb: the overal lv systolic function appears improved, estimated ef = 60%. there remains trivial mr, trivial tr, and trace pi. no ai. no evidence of dissection. brief hospital course: 56 year old patient of dr. and dr. with exertional chest pain, dyspnea and a positive stress test had a cardiac catheterization that revealed 3 vessel coronary disease. post catheterization he was referred for revascularization. he was admitted for revascularization on and taken to the operating room where coronary bypass grafting please see operative report for details, in summary he had: 1. coronary bypass grafting x3 with left internal mammary artery, left anterior descending coronary; reverse saphenous vein single graft from aorta to first obtuse marginal coronary artery; reverse saphenous vein single graft from aorta to the distal right coronary artery. his cardiopulmonary bypass time was 36 minutes and crossclamp time was 56 minutes. he tolerated the operation well and post-operatively was transferred to the cardiac surgery icu in stable condition. he reamined hemodynamically satble, weaned from the ventilator and was extubated the evening of surgery. on pod1 he was transferred to the stepdown floor for continued post-operative care and recovery. all tubes lines and drains were removed per cardiac surgery protocol. he was diuresed towards his preoperative weight, beta blockade was begun as well. physical therapy worked with him for mobility and strength. the remainder of his hospital stay was uneventful. he was cleared for discharge on pod3 and sent home with visiting nurses. he is to follow-up with dr in 3 weeks medications on admission: atenolol - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth once daily hydrochlorothiazide - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth once daily lisinopril - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth once daily simvastatin - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth once every evening medications - otc aspirin - (prescribed by other provider) - 325 mg tablet - 1 tablet(s) by mouth once daily multivitamin - (prescribed by other provider) - dosage uncertain omega-3 fatty acids-vitamin e - (prescribed by other provider) - dosage uncertain discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever or pain. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day for 10 days. disp:*20 tablet sustained release(s)* refills:*0* 8. lasix 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts x 3 s/p appendectomy hypertension hyperlipidemia 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- none 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 @ 1pm cardiologist: dr. on @11:10am/ office please call to schedule appointments with: 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: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension personal history of tobacco use family history of ischemic heart disease chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to