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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: - cardiac catheterization and placement of an iabp - 1. emergent coronary bypass grafting x3 on intra-aortic balloon pump with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the ramus intermedius coronary artery; as well as reverse saphenous vein single graft from aorta to posterior left ventricular coronary artery. 2. endoscopic left greater saphenous vein harvesting. history of present illness: 60 year old gentleman with recent chest pain on exertion. stress test was abnormal and he was scheduled for cath. chest pain developed during cath today which revealed left main and multi-vessel coronary artery disease. he is now brought to the operating room urgently for cabg. past medical history: osteoarthritis lumbar disc disease hypercholesterolemia social history: lives with: wife, works at library occupation: tobacco: 1ppd x 30yrs, quit 13yrs ago etoh: quit years ago family history: father died at 62 of heart disease physical exam: pulse: 65 resp: 18 o2 sat: b/p right: 121/72 left: height: weight: 74.8kg general: slightly anxious, but nad 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 varicosities: none neuro: grossly intact x pulses: femoral right: iabp left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: left: none pertinent results: echo pre-bypass: the left atrium and right atrium are normal in cavity size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. iabp seen in the descending aorta with tip 2 cm below the left subclavian artery. post-bypass: the patient is a paced. iabp remains in good position. preserved biventricular function. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. 05:05am blood wbc-4.9 rbc-2.86* hgb-8.6* hct-25.4* mcv-89 mch-30.3 mchc-34.1 rdw-12.7 plt ct-209# 10:40am blood wbc-5.1 rbc-4.34* hgb-13.0* hct-37.7* mcv-87 mch-30.0 mchc-34.5 rdw-12.5 plt ct-208 07:58am blood pt-14.0* ptt-33.2 inr(pt)-1.2* 10:40am blood pt-14.5* ptt-150* inr(pt)-1.3* 05:05am blood na-140 k-4.5 cl-101 05:10am blood glucose-110* urean-12 creat-0.7 na-136 k-4.2 cl-101 hco3-28 angap-11 10:40am blood glucose-134* urean-12 creat-0.8 na-138 k-3.6 cl-106 hco3-24 angap-12 brief hospital course: mr. was admitted to the on for a cardiac catheterization. this revealed significant left main and three vessel coronary artery disease. as he developed chest pain during his catheterization, an intra-aortic balloon pump was placed. the cardiac surgical service was urgently consulted and surgical revascularization was recommended. mr. was taken urgently to the operating room where he underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. the next morning, his intra-aortic balloon pump was weaned off and removed without incident. he then awoke neurologically intact and was extubated. on postoperative day two, he developed a right pneumothorax following removal of his chest tubes. a right pleural tube was thus placed with resolution of his pneumothorax. later on postoperative day two, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. after a water seal trial, the right pleural chest tube was removed and he subsequently developed a large right pneumothorax that required a chest tube to be reinserted. follow up chest x-ray revealed right lung rexpanded. this chest tube wsa pulled without incident after clamping and serial cxr. the physical therapy service was consulted for assistance with his postoperative strength and mobility. beta blockade, aspirin and a statin were resumed. mr. continued to make steady progress and was cleared by dr. for discharge to home. he was in normal sinus rhythm and his chest xray showed a small pleural effusion with stable bilateral apical pneumothoraces. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. all follow up appointments were advised. medications on admission: toprol 50 daily sl nitroglycerin simvastatin 20 daily ascorbic acid 1000mg daily aspirin 325mg daily b complex vitamins vit. d2 folic acid mvi omega 3 fa saw vit e discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 6. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching . disp:*qs qs* refills:*0* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: centrus home care discharge diagnosis: coronary artery disease hyperlipidemia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg left - healing well, with ecchymosis at knee and inner aspect of thigh rash on buttock, posterior thigh red and raised, resolving on back chest and groin area discharge instructions: 1) 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 2) please no lotions, cream, powder, or ointments to incisions 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4) no driving for approximately one month until follow up with surgeon 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns followup instructions: appointment already scheduled , md phone: date/time: 2:30 please call to schedule appointments. please follow-up with dr. in 2 weeks. please follow-up with dr. in 2 weeks. **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization implant of pulsation balloon nonoperative removal of heart assist system diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome other and unspecified hyperlipidemia iatrogenic pneumothorax surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation dermatitis due to drugs and medicines taken internally other and unspecified disc disorder, lumbar region osteoarthrosis, unspecified whether generalized or localized, lower leg other diuretics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to