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: indocin attending: chief complaint: chest pain/fatigue/doe major surgical or invasive procedure: - redosternotomy, cabgx3(saphenous vein graft (svg)->diagonal artery, svg->ramus artery, svg->posterior left ventricular artery), mvr(33mm st. 33mm porcine valve) - reexploration for bleeding - permenant pacemaker placement. history of present illness: the patient is a 68-year-old gentleman who underwent coronary artery bypass grafting for critical symptomatic congestive heart failure symptoms back in up in , . the patient re-presented with a bout of congestive heart failure and dr. worked the patient up, which showed that all of his vein grafts were occluded. his mammary artery was patent to the lad and there was severe native vessel progression as well. this degree of mitral regurgitation had significantly increased as well between and this point. the patient was therefore referred for redo coronary artery bypass grafting as well as mitral valve repair or replacement. past medical history: cad s/p cabgx6 in cvd copd hyperlipidemia htn aaa pna mi djd gout cri h/o alcohol abuse renal cell cancer s/p nephrectomy chf cvd s/p (b) cea social history: lives with wife in . quit smoking two weeks ago. former heavy drinker, currently drinks three beers daily. family history: unremarkable physical exam: 74 112/62 67" 188lbs gen: wdwn in nad skin: warm, dry, no clubbing or cyanosis. heent: perrl, anicteric sclera, op benign neck: supple, no jvd, from. (b) cea incisions. lungs: cta bilaterally heart: rrr, no r/g, i/vi systolic late blowing murmur, well healed sternotomy abd: soft, nd/nt/nabs. well healed right nephrectomy incision. ext:warm, well perfused, no bruits, no varicosities, l gsv harvested right appears suitable. mild peripheral edema neuro: no focal deficits. uses cane for walking d/t left hip arthritis. pertinent results: - echo pre bypass: the left atrium is markedly dilated and elongated. color-flow imaging of the interatrial septum raises the suspicion of an atrial septal defect, but this could not be confirmed on the basis of this study. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is an inferobasal left ventricular aneurysm. there is severe regional left ventricular systolic dysfunction with an inferior basal aneurysm with akinesis of the basal inferior and inferior-septal walls. there is also severe hypokineis of the entire lateral and remaing portions of the inferior and septal walls, and mild hypokinesis of the anterior and anteroseptal walls. lvef 20%, but given severity of mr, this is likely an overestimation of actual lv function. right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate to severe (3+) mitral regurgitation is seen. the mitral regurgitation vena contracta is >=0.7cm (0.8 cm). there is no pericardial effusion. post bypass: no change in biventricular function. there is a bioprosthetic mitral valve in place, no paravalvular leaks. aortic contours intact. remaing exam is unchanged. all finidngs discussed with surgeons at the time of the exam. procedure: chest pa and lateral on . comparison: . history: 68-year-old man with status post mvr and cabg, rule out effusion. findings: the loculated right hemithorax effusion including the fissures have remained stable. the small present left pleural effusion has decreased in size on today's examination. persistent cardiomegaly is moderate. the left subclavian dual-lead pacemaker is unchanged in location. left retrocardiac atelectasis is more pronounced on today's examination. the pulmonary vasculature is slightly prominent but no definite edema is seen. impression: 1. loculated right small to moderate pleural effusion, stable. 2. improvement of the small left pleural effusion. 3. moderate cardiomegaly. 01:43am blood wbc-12.2* rbc-3.00* hgb-8.6* hct-26.8* mcv-90 mch-28.6 mchc-31.9 rdw-15.2 plt ct-611*# 04:35am blood hct-27.7* 02:20am blood pt-12.9 ptt-22.6 inr(pt)-1.1 01:43am blood glucose-94 urean-23* creat-1.0 na-133 k-4.6 cl-97 hco3-29 angap-12 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery and vein graft disease. he was taken directly to the operating room where he underwent a redosternotomy with coronary artery bypass grafting to three vessels and a mitral valve replacement using a 33mm st. porcine valve. please see operative note for details. postoperatively mr. was transferred to the intensive care unit for monitoring. he initially required inotropes and packed red blood cells for pressure support and anemia. complete heart block was noted under his temporary pacemaker and the ep service was consulted. a pacemaker was likely needed. he was successfully extubated on postoperative day one. on postoperative day two, he developed high output from his chest tubes and was reintubated. he was taken to the operating room where he was re-explored for bleeding and hemostasis was acheived of a bleeding branch of a vein graft. he was then returned to the intensive care unit for monitoring. the next morning he awoke neurologically intact and was extubated. he remained pacer dependent. plavix, aspirin and a statin were resumed. as it was unlikely his conduction system would recover, the electrophysiology service placed a permenant pacemaker on without complication. the hematology service was consulted for thrombocytopenia. although his hit assay was negative, it was recommended to treat as if he was hit positive. thus, all heparin products were avoided and a serotonin release hit assay was sent and if positive, it is recommended he be treated with argatroban and coumadin. his platelets recovered. on , he was transferred to the step down unit for further recovery. the physical therapy service was consulted for assistance with his postoperative strength and mobility.plavix was resumed. he required agressive diuresis and remained in the hospital for diuresis. repeat hit antibody was negative. sra is still pending. his pacemaker was interrogated on , adn wsa found to be functioning correctly. he was noted to have 3 5 minute episodes of atrial fibrillation, he was switched to a full aspirin. he will follow up with the device clinic in 6 weeks. he was ready for discharge home on pod #12. medications on admission: aspirin 325' crestor 20' iron 325' mvi plavix 75' digoxin 0.25' lisinopril 5' lopressor 50" 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. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. lasix 40 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*20 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 2 weeks. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 8. aspirin 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:*0* discharge disposition: home with service facility: discharge diagnosis: cad s/p redo cabgx3/mvr chb s/p ppm h/o cabgx6 cvd s/p bilat cea copd hyperlipidemia htn aaa pna mi in past cri gout discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 2 weeks. ( please call for appt. please follow-up with dr. in 4 weeks. please follow-up with dr. in 6 weeks. please follow-up with the device clinic on at 9:00, building , . procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery intraoperative cardiac pacemaker diagnostic ultrasound of heart diagnostic ultrasound of heart insertion of endotracheal tube initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle incision of mediastinum reopening of recent thoracotomy site open and other replacement of mitral valve with tissue graft pericardiotomy transfusion of packed cells suture of artery transfusion of other serum transfusion of platelets artificial pacemaker rate check diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified atrial fibrillation systolic heart failure, unspecified other and unspecified hyperlipidemia hemorrhage complicating a procedure atrioventricular block, complete old myocardial infarction anticoagulants causing adverse effects in therapeutic use abdominal aneurysm without mention of rupture unspecified late effects of cerebrovascular disease personal history of malignant neoplasm of kidney acquired absence of kidney other and unspecified alcohol dependence, continuous adhesive pericarditis 

Answer: The patient is high likely exposed to