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: mr. is a 57-year-old man who presents with known carotid disease and symptoms of worsening chest pain over the last several months. he had his first episode of chest pain this past winter when he was laying in bed, had a pressure in the center of his chest that lasted approximately for 15 minutes before resolving on its own. he had a second episode approximately a week later that again occurred while he was at rest, however, in the interval he was able to tolerate exercise including golfing. he had a stress test done at in in which he exercised for 7 minutes and achieved a peak heart rate of 123 beats per minute. his ekg showed an exercise induced left bundle branch block and when this resolved he was found to have inferolateral st segment depressions. he was found to have on echo, new regional wall motion abnormalities with severe hypokinesis of the anterolateral inferior and apical walls and a cardiac catheterization done on showed three vessel coronary disease with a 90% osteal lad lesion, a left circumflex occlusion after om1 which had a 50% stenosis and an rca proximal occlusion. his ef was found to be 44% and based on this finding, he was scheduled to have coronary artery bypass surgery. of note, he has also been known to have carotid disease for years, his most recent carotid ultrasound shows greater than 90% stenosis bilaterally. he has never had any symptoms but he is now scheduled for carotid stenting with dr. . he denies having any claudication, orthopnea, edema, paroxysmal nocturnal dyspnea or lightheadedness. past medical history: notable for hypertension, hyperlipidemia, carotid disease. medications: on admission, aspirin 325 mg po q day, atenolol 100 mg po q day, lipitor 40 mg po q day. laboratory data: hematocrit 43, white count 8, bun and creatinine 12 and 1.1, inr 0.9. hospital course: the patient was admitted to the cardiology service. he was taken to the catheterization laboratory where he had a left internal carotid artery stent placed. postoperatively he was kept on integrilin for approximately 6 hours. he was then converted to a heparin drip and a plan to start plavix after his bypass surgery was initiated. on the patient was taken to the operating room where he had a coronary artery bypass graft times four. his grafts were lima to lad, saphenous vein graft to put rm(?) ramus intermedius vs rca ?, saphenous vein graft to om1, saphenous vein graft to pda. his cardiopulmonary bypass time was 91 minutes, his cross clamp time was 55 minutes. postoperatively the patient was taken intubated to the cardiac surgery intensive care unit. he was extubated on the evening of his operation and had no acute events through the night. his plavix was started postoperatively in addition to his other post cardiac surgery medications. his postoperative course was extremely unremarkable and he made rapid progress. his chest tube and pacing wires were discontinued on the second postoperative day. the patient ambulated with physical therapy, making excellent progress and by the third postoperative day looked well enough to be discharged home on . the patient was discharged home in stable condition in the care of his family. he was instructed to follow-up with his primary care physician in two weeks and to see dr. in four weeks. the patient was discharged home on the following medications. discharge medications: plavix 75 mg po q day, enteric coated aspirin 325 mg po q day, lopressor 25 mg po bid, lipitor 40 mg po q day, colace 100 mg po bid, percocet 5/325 po q 4-6 hours prn. of note, the patient was 3 kg below his pre-op weight at the time of discharge and it was not believed that he needed to go home on either lasix or potassium. discharge diagnosis: 1. coronary artery disease, now status post coronary artery bypass graft. 2. bilateral carotid disease, status post left internal carotid artery stent. 3. hypertension, controlled. 4. hyperlipidemia, treated. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor diagnostic ultrasound of heart angioplasty of other non-coronary vessel(s) arteriography of cerebral arteries insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome tobacco use disorder unspecified essential hypertension hematoma complicating a procedure other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction 

Answer: The patient is high likely exposed to