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: the patient is an unfortunate 70 year old gentleman with a past medical history that is significant for a coronary artery bypass graft times three that was done in here at . he had a history of a right carotid endarterectomy done in and a history of mitral valve regurgitation and atrial fibrillation that was cardioverted in , and the patient was taking amiodarone. he also had a history of gout and hypertension. he was found to have an abdominal aortic aneurysm and most recently he underwent an abdominal ct scan for surveillance and it revealed that his abdominal aortic aneurysm had increased ins size to 5 cm. he was evaluated in the office on the vascular service and he was found to be not an adequate candidate for a usual stent graft repair of this aneurysm. he was offered an open elective repair for which the patient agreed. he was scheduled to have this operation electively on . he had a cardiac and medical clearance by his primary care physician as well as his cardiologist and he was deemed to be in good condition to undergo this operation. on , the patient was taken to the operating room and underwent an open abdominal aortic aneurysm repair with an aorta -iliac dacron graft. the operation was complicated with a lower pole splenic tear that was tried to be repaired primarily and which ultimately required a splenectomy for persistent bleeding. in the operating room he received 11 liters of crystalloid and made only 150 cc of urine and there was an estimated blood loss of 4.5 liters. he received a total of four units of packed red blood cells and cc of cellsaver. he was transferred to the recovery room where he persistent aneuric and acidotic requiring pressors and fluid in order to maintain his hemodynamics. ultimately, he was transferred to the surgery intensive care unit on the sixth floor to continue his monitoring by the surgical house staff as well as the attending. once in the intensive care unit, his acidosis worsened and despite aggressive intravenous fluid resuscitation and pressor medications, the patient remained hypotensive. an emergent cardiology consultation and a transthoracic echocardiogram was obtained but unfortunately at that time, this study revealed poor windows and there was no obvious or acute evidence of hypokinesis nor pericardial effusion. despite these results, because once again due to poor windows and due to the body habitus of this patient, a transesophageal echocardiogram was recommended and obtained. this study revealed marked left ventricular hypokinesis as well as an akinetic septum with severe left ventricular function depression. there was a very poor ejection fraction despite the pressor medications. renal was consulted as well because the patient was anuric for many hours and he had a worsening acidosis. the recommendation for the nephrologist was to start him on a dopamine drip, trying to improve perfusion to his kidneys. in spite of all the above mentioned measures, the patient remained hypotensive and his hematocrit drifted down, becoming progressively more distended in the abdominal region. at that time, upon discussion with dr. , the attending of record, the decision was made to take him back to the operating room for a re-exploration. upon taking him back to the operating room, approximately cc of blood and clot were found in the left upper quadrant but upon evacuating this hematoma, there was no obvious source of bleeding identified. the patient was closed loosely with a rubber and a big ioban and it was elected to leave the abdomen open with two medium sized - drains on the lateral aspect. once again, the patient was transferred to the intensive care unit on multiple pressors including levophed, neo-synephrine, vasopressin, dopamine and intravenous fluids running at 200 cc an hour. within the next couple of hours, the acidosis persisted and the patient continued to bleed extensively from his - drains. a new set of coagulation studies was sent and the inr at this point was found to be 11.0 with a ptt in the mid 100s and an elevated pt. the fibrinogen was low and further repletion with fresh frozen plasma, cryo, and more units of packed red blood cells were also started and initiated. the case was discussed again with the attending of record and upon consultation with the surgical attendings on the vascular service. it was decided to continue to fully support him and try to correct his coagulopathy before trying to explore him again in the operating room as he was very unstable to be transferred anywhere. the patient's abdomen progressively became more distended and a foley catheter pressure was transduced and came back high on 33 mm of water. because he was markedly unstable to be moved to the operating room, the decision was made to open his abdomen in the intensive care unit for which purpose an abdominal kit and a bulb electrocardia as well as pulse suction and multiple canisters were brought to the intensive care unit to do the abdominal wound exploration. at this point, the patient had received 26 units of packed red blood cells, 14 units of fresh frozen plasma, 6 units of platelets, one unit of cryo, 5 gram load of amicar as well as a continuous rip and a factor vii that included 4800 micrograms infused. upon opening the abdomen, we found about 3000 cc of half clotted blood that was evacuated with a bulb sucker. once again, no obvious source of bleeding was found nor identified. the aorta repair appeared to be intact with no clot extravasation. the bowel was noted to be diffusely edematous with multiple patches of ischemia all along its length. there was a feculent smell in the abdomen with no obvious bowel perforation identified. upon packing all four quadrants, the abdomen was closed again with a rubber and an ioban and two medium sized - drains were left on the lateral aspect of the wound. at his point, the patient was still on levophed, epinephrine, dopamine and pitressin to keep his systolic blood pressure barely above 90s. he remained anuric and his acidosis progressively worsened despite bicarbonate infusions. the patient's family was aware of the patient's condition and upon their request, they were allowed to enter the intensive care unit room to see the patient. despite full support, the patient expired and was pronounced at 12:14 p.m. . the family was present as well as a catholic priest and the surgery intensive care unit staff. medical examiner was notified and he declined the case. the family was offered a post mortem examination which was accepted. we will arrange for this to happen in our pathology department. , m.d. procedure: reopening of recent laparotomy site total splenectomy resection of vessel with replacement, aorta, abdominal transfusion of packed cells transfusion of other serum transfusion of platelets transfusion of coagulation factors diagnoses: acute kidney failure, unspecified accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure defibrination syndrome cardiac arrest other shock without mention of trauma abdominal aneurysm without mention of rupture acute vascular insufficiency of intestine 

Answer: The patient is high likely exposed to