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: history of present illness: this 63-year-old gentleman who is relatively asymptomatic from his coronary artery disease had a murmur detected on a physical exam this past prior to admission. the workup revealed a dilated ascending aorta of 5.2 cm and 3-vessel disease. cardiac catheterization performed at on showed a lad 80% lesion, a circumflex 80% lesion, a pda 80% lesion, mild aortic insufficiency, and an ejection fraction of 76%. an echocardiogram performed on showed an ef of 60%, an aortic root of 4.2 cm, mild ai, and mild mr. past medical history: 1. coronary artery disease. 2. raynaud disease. 3. hypertension. 4. hyperlipidemia. 5. osteoma of the left leg, status post removal in . 6. status post deviated septal repair in . 7. wisdom teeth removal in . 8. he also has a history of herniated disc with occasional lower leg paresthesia. medications prior to admission: procardia xl 30 mg p.o. daily, atenolol 25 mg p.o. daily, aspirin 325 mg p.o. daily, and zocor 20 mg p.o. daily. allergies: he had no known allergies. cardiologist: his cardiologist is dr. . primary care physician: primary care is dr. . family history: he has a positive family history. his father had a stroke and a cva. social history: mr. is a retired engineer. he lives with his wife who has early dementia, and he is the primary caregiver to his wife. has no tobacco history whatsoever and rarely uses alcohol. review of systems: he denied any cva symptoms, tia, or syncope, as well as claudication; but he did have a positive history with raynaud's which improved with the treatment with procardia. physical examination: he was 5 feet 11 inches, 152 pounds, his pulse was regular at 60, blood pressure on the right was 120/80, on the left 118/78. he was in no apparent distress and was well appearing. his skin was warm and dry. he had no lesions or rashes. his pupils were equally round and reactive to light and accommodation. his eoms were intact. his neck was supple with no jvd. his lungs were clear bilaterally. his heart was regular in rate and rhythm with a loud s2 and a grade to 2/6 systolic ejection murmur. his abdomen was soft, nontender, and nondistended with bowel sounds present. he had no peripheral edema. he had a mild paresthesia on the lateral aspect of his left thigh and lower leg. he had some venous dilation of his left lower extremity, but the left leg vein appeared suitable for a possible conduit with no varicosities present. he was alert and oriented x 3 with 5/5 strength and a steady gait. he had 2+ bilateral femoral, dp, pt, and radial pulses. no carotid bruits were appreciated. preoperative laboratory data: white count of 5.8, hematocrit of 44.2, and platelet count of 245,000. pt of 13.4, ptt of 33.1, and inr of 1.1. sodium of 140, k of 4.1, chloride of 99, bicarbonate of 33, bun of 21, creatinine of 1.0, with a blood sugar of 74. his urinalysis was negative. alt of 25, ast of 25, alkaline phosphatase of 66, amylase of 77, total bilirubin of 0.7, total protein of 7.0, albumin of 4.5, globulin of 2.5, and hba1c of 5.2%. discharge status: on postoperative day 4, he did do a level v ambulation. he was doing extremely well postoperatively, and he was ready for home to home with vna. on the day of discharge his blood pressure was 116/64, in sinus rhythm at 77, saturating 94 percent on room air. his incisions were clean, dry, and intact. die followup: he was instructed to follow up in our postoperative wound clinic at 2 weeks post discharge and to see dr. in the office at 4 weeks post discharge. also, the patient was instructed to follow up with his primary care physician . - in approximately 3 weeks post discharge. discharge disposition: he was discharged to home with vna services on . discharge diagnoses: 1. status post coronary artery bypass grafting x 2 with resuspension of aortic valve and replacement of ascending aorta. 2. coronary artery disease. 3. raynaud disease. 4. hypertension. 5. hyperlipidemia. 6. status post osteoma of left leg. 7. status post deviated septal repair. 8. wisdom teeth removal. 9. herniated disc. medications on discharge: 1. lasix 20 mg p.o. once a day (for 10 days). 2. potassium chloride 20 meq p.o. once a day (for 10 days). 3. colace 100 mg p.o. twice a day. 4. enteric coated aspirin 81 mg p.o. once a day. 5. percocet 5/325 1 to 2 tablets p.o. q.4-6h. as needed (for pain). 6. zocor 20 mg p.o. once a day. 7. metoprolol 50 mg p.o. twice a day. , m.d. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery resection of vessel with replacement, thoracic vessels transfusion of packed cells transfusion of other serum transfusion of platelets operations on other structures adjacent to valves of heart diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension thoracic aneurysm without mention of rupture mitral valve insufficiency and aortic valve insufficiency raynaud's syndrome 

Answer: The patient is high likely exposed to