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: asymptomatic worsening severe aortic stenosis/moderate aortic insufficiency major surgical or invasive procedure: s/p avr(#21mm st. .)/cabg x1(lima->lad)- history of present illness: 58 year old male with a well known history of bicuspid aortic valve, asymptomatic aortic stenosis and moderate aortic insufficiency who has been followed by serial echocardiograms. although he is currently asymptomatic, his recent echo revealed worsening as and a new finding of lvh. dr. was consulted for avr/cabg. past medical history: bicuspid aortic valve with aortic stenosis/ao.insufficiency hyperlipidemia social history: employed as a photographer denies tobacco/occ.etoh lives with wife family history: father deceased in his 60s: +valvular dysfunction physical exam: discharge vs: 98.8 111/72 83 20 96% ra general:pleasant, answers questions appropriately cvs: regular lungs:clear bilaterally abd:soft, nontender without rebound or guarding extr:warm with no edema wound:clean and dry, stable pertinent results: 09:55am blood wbc-6.6 rbc-4.12* hgb-13.0* hct-36.2* mcv-88 mch-31.5 mchc-35.8* rdw-13.8 plt ct-248 07:01am blood wbc-11.0 rbc-2.85* hgb-9.1* hct-25.4* mcv-89 mch-31.9 mchc-35.8* rdw-13.4 plt ct-159 07:01am blood pt-16.0* inr(pt)-1.4* 07:01am blood glucose-112* urean-13 creat-0.8 na-139 k-4.2 cl-102 hco3-34* angap-7* 09:55am blood glucose-91 urean-14 creat-0.7 na-137 k-3.7 cl-105 hco3-27 angap-9 echocardiography report , portable tee (complete) done at 10:06:39 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 58 m hgt (in): bp (mm hg): 145/85 wgt (lb): hr (bpm): 86 bsa (m2): indication: aortic valve disease. icd-9 codes: 440.0, 424.1 test information date/time: at 10:06 interpret md: , md test type: portable tee (complete) son: , md doppler: full doppler and color doppler test location: or cardiac contrast: none tech quality: adequate tape #: 2008sc-0:00 machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - ejection fraction: >= 55% >= 55% aorta - sinus level: 3.6 cm <= 3.6 cm aorta - ascending: 2.9 cm <= 3.4 cm aorta - arch: 2.0 cm <= 3.0 cm aortic valve - peak velocity: *3.5 m/sec <= 2.0 m/sec aortic valve - peak gradient: *51 mm hg < 20 mm hg aortic valve - valve area: *0.9 cm2 >= 3.0 cm2 findings right atrium/interatrial septum: normal ra size. left ventricle: mild symmetric lvh. normal lv cavity size. normal regional lv systolic function. right ventricle: normal rv chamber size and free wall motion. aorta: normal diameter of aorta at the sinus, ascending and arch levels. normal aortic diameter at the sinus level. normal ascending aorta diameter. mildly dilated descending aorta. aortic valve: bicuspid aortic valve. severely thickened/deformed aortic valve leaflets. mitral valve: mildly thickened mitral valve leaflets. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the descending thoracic aorta is mildly dilated. the aortic valve is bicuspid. the aortic valve leaflets are severely thickened/deformed. severe as with a valve area of 0.9the mitral valve leaflets are mildly thickened. there is mild mr .there is no pericardial effusion. post bypass the patient is on a neo infusion at .5 mcg/kg/min a 21 mechanical valve the mean gradient across the valve was 11 there is no ai or paravalvular leak lv function is preserved electronically signed by , md, interpreting physician 13:27 , m 58 radiology report chest (portable ap) study date of 1:59 pm , r. csurg fa5 sched chest (portable ap) clip # reason: eval for pneumothorax s/p chest tube removal medical condition: 58 year old man s/p avr/cabg reason for this examination: eval for pneumothorax s/p chest tube removal final report clinical history: avr, cabg, chest tube removed, evaluate for pneumothorax. chest, ap: all the tubes have now been removed. the film is somewhat over-penetrated, particularly for the apex and though no pneumothorax is identified, this is not entirely excluded. bibasilar atelectasis, worse in the left side is present. impression: no pneumothorax is seen, but films are somewhat over-penetrated. dr. . approved: 4:50 pm imaging lab brief hospital course: mr., with known aortic stenosis, presented for preop cardiac catheterization and admission for aortic valve surgery. cath revealed a 70% lad lesion. he was taken to the operating room and underwent aortic valve replacement with a #21mm st. mechanical valve and coronary artery bypass grafting with the left internal mammary artery grafted to the left anterior descending artery. please refer to dr operative report for further details. he was intubated, requiring neosynephrine and propofol for sedation and blood pressure optimization. he was transferred to the cvicu in stable condition. he required precedex to allow for vent weaning and was extubated shortly thereafter without difficulty. all lines and drains were removed in a timely fashion. pod#1 mr. was transferred to the step down unit for further telemetry monitoring. he was started on coumadin for anticoagulation for the mechanical valve.beta-blocker, statin,and aspirin were all initiated. he continued to do well. pod#3 heparin was started to bridge the subtherapeutic inr. inr goal 2.5-3.5 per mechanical valve protocol. he continued to progress and it was felt he was ready for discharge to home on pod#5. it was arranged with his pcp, . office to follow his inr/coumadin dosing. he was advised of all follow up appointments. medications on admission: lipitor 10(1) discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 9. warfarin 1 mg tablet sig: as directed tablet po once a day: take 1mg on . dr office will call with dose to take. disp:*100 tablet(s)* refills:*0* 10. warfarin 2.5 mg tablet sig: as directed tablet po once a day: take 1mg on . dr office will call with dose to take. disp:*100 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: s/p avr(#21mm st. mechanical valve)/cabg x1(lima->lad) as/ai cad hyperlipidemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: ***daily inr draws by vna to be called into pcp:. # for coumadin dosing. dr in 4 weeks () please call for appointment dr in 1 week ( ) please call for appointment wound check appointment 2 as instructed by nurse ( procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures open and other replacement of aortic valve diagnoses: coronary atherosclerosis of native coronary artery aortic valve disorders other chronic pulmonary heart diseases other and unspecified hyperlipidemia heart disease, unspecified 

Answer: The patient is high likely exposed to