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: right vertebral artery aneurysm major surgical or invasive procedure: cerebral angiogram with coiling/ sacrificed r vert art history of present illness: mr. is a 42 year-old r-handed man with past medical history of htn, hl, cad and recent sah () with coiling of a r vertebral artery aneurysm, found on repeat imaging to have been only partially coiled. he was in el in visiting family when he started to have a headache that involved his "whole head" and the nape of his neck. he had a head ct done, which showed a right vertebral artery aneurysm. he underwent aneurysm coiling, and when it was safe for him to fly, he returned to the us on . 2 weeks after his return he began to experience the same type of headaches as previously but "less painful". he arranged to see a neurosurgeon through his pcp, had an angio done on , which showed that the coiled aneurysm was still filling. he was scheduled for an elective re-coiling of the aneurysm. past medical history: 1. abnormal electrocardiogram (incomplete right bundle-branch block, ?fixed splitting of loud s2). 2. hypertension. 3. dyslipidemia. 4. presumed coronary artery disease given his ekg abnormalities. 5. sah s/p r vertebral artery partial coiling in in el , shown on repeat imaging to still have filling. . social history: hx: he is single. he lives in with two of his brothers. emigrated from el in . he is currently on disability secondary to his cerebral aneurysm, but is looking to resume work stocking groceries. he never smoked. he stopped drinking alcohol in after his new diagnoses of hypertension and cerebral aneurysms. he denies illicit substance use. he has not been exercising since he was diagnosed with a cerebral aneurysm. he follows no special diet. family history: his father died at age 70 of a myocardial infarction. he sustained his first mi in his 40s. his mother is living, age 71 and suffers from congestive heart failure. he has five brothers, one of whom has hypertension and hyperlipidemia and one sister who suffers from diabetes. he has no children. there is no family history notable for stroke or sudden cardiac death. physical exam: on admission: nonfocal exam upon discharge- exam unchanged, no focal deficits, intact, groin site soft to touch, no hematoma. + pedal pulses pertinent results: 10:45am pt-12.6 ptt-27.6 inr(pt)-1.1 02:00pm pt-13.7* ptt-150* inr(pt)-1.2* 04:59pm pt-12.7 ptt-35.4* inr(pt)-1.1 06:38pm ptt-29.1 08:58pm ptt-45.2* 09:15pm blood pt-22.5* ptt-73.6* inr(pt)-2.1* 04:55am blood pt-26.1* ptt-92.5* inr(pt)-2.5* echo no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results at time of procedure. brief hospital course: mr. was admitted to under the care of dr. , neurosurgery. he underwent a cerebral angiogram on and the right vertebral artery was sacraficed. neurology was consulted and they agreed with heparinization overnight with goal ptt of 70-90 and also asked for coumadin to be started. he required increase in heprain gtt due to subtherepeutic ptt overnight. his post-angio check repevaled a normal neurologic exam. pedal pulses were good and there was no groin hematoma. he was transfered to the sdu and oob on . his ptt/inr where at therepeutic range and his heparin was dc'ed ovenight on into . coumadin was continued. he was cleared for discharge to home. medications on admission: aspirin 81 mg p.o. daily, candesartan 16 mg p.o. daily, 10 mg p.o. daily (el med), contolip 250 mg p.o. daily (el med) discharge medications: 1. candesartan 16 mg tablet sig: one (1) tablet po daily (). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever: max 4g/24 hrs. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. sig: ten (10) mg once a day: home med from el . 8. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for headache. disp:*90 tablet(s)* refills:*0* 9. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 10. warfarin 2.5 mg tablet sig: two (2) tablet po once a day: please check inr with pcp in one week. disp:*60 tablet(s)* refills:*3* discharge disposition: home discharge diagnosis: right vertebral artery aneurysm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: angiogram medications: ?????? take aspirin 325mg (enteric coated) once daily. ?????? take coumadin daily for three months total. follow up with your pcp and dr. of neurology for this. inr goal 1.5-2 ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room followup instructions: please call for follow up with dr. in 6 months with a mri/mra with/without contrast ( protocol). see your pcp in one week to check your inr level. inr goal is 1.5-2 call the office of dr. in neurology at ( to schedule follow up. provider: phone: date/time: 1:00 provider: , md phone: date/time: 1:40 procedure: arteriography of cerebral arteries endovascular embolization or occlusion of vessel(s) of head or neck using bare coils diagnoses: unspecified essential hypertension other and unspecified hyperlipidemia cerebral aneurysm, nonruptured 

Answer: The patient is high likely exposed to