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: sulfonamides / norpace / quinidine attending: chief complaint: abdominal aortic aneurysm. major surgical or invasive procedure: resection and repair of abdominal aortic aneurysm with 18 x 9 bifurcated aortobi-iliac graft. history of present illness: this 76-year-old gentleman was recently found to have a 6.4 cm aneurysm which was a juxtarenal aneurysm of the infrarenal aorta, also involving the right and left common iliac arteries. the right iliac artery was actually frankly aneurysmal. the left iliac artery was only ectatic. the patient was not a candidate for stent graft based on anatomy and was advised to have an open repair. past medical history: pmh: htn, dm, gerd, mild cirrhosis, ef 55%, mild mr : varicose veins social history: pos smoker pos drinker family history: n/c physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness ext: rle - palp fem, , pt, dp lle - palp fem, , pt, dp pertinent results: 05:00am blood wbc-5.9 rbc-3.55* hgb-10.7* hct-30.9* mcv-87 mch-30.1 mchc-34.5 rdw-14.9 plt ct-338 04:00am blood pt-14.2* ptt-31.0 inr(pt)-1.3* 05:00am blood plt ct-338 05:00am blood glucose-63* urean-18 creat-0.9 na-141 k-3.4 cl-106 hco3-25 angap-13 05:00am blood calcium-8.3* phos-2.9 mg-1.9 cardiology report echo study date of measurements: left atrium - long axis dimension: *6.0 cm (nl <= 4.0 cm) left ventricle - diastolic dimension: 4.7 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.5 cm left ventricle - fractional shortening: *0.26 (nl >= 0.29) aorta - valve level: 2.0 cm (nl <= 3.6 cm) interpretation: findings: left atrium: normal la size. no spontaneous echo contrast or thrombus in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thicknesses and cavity size. lv wall motion: basal anterior - normal; mid anterior - normal; basal anteroseptal - normal; mid anteroseptal - normal; basal inferoseptal - normal; mid inferoseptal - normal; basal inferior - normal; mid inferior -normal; basal inferolateral - normal; mid inferolateral - normal; basal anterolateral - normal; mid anterolateral - normal; anterior apex - normal; septal apex - normal; inferior apex - normal; lateral apex - normal; apex - normal; right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no ms. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. conclusions: the left atrium is normal in 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 thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. brief hospital course: mr was admitted on for an elective resection and repair of abdominal aortic aneurysm with 18 x 9 bifurcated aortobi-iliac graft . pre-operatively, he was consented, prepped, and brought down to the operating room for surgery. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. but ebl intraop 3200 ml--required significant amt. blood products and pressors. remains intubated. he was sent to the sicu immediate post operatively. pt continued to recieve pressor and blood products. once pt was stablaized with the post operative support. he was extubated without difficulty. he was then transferred to the floor for further recovery. on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve his strength and mobility. he continues to make steady progress without any incidents. he was discharged to a rehabilitation facility in stable condition. medications on admission: : aspirin 81qd; celebrex 200qd; cozaar 50qd; isosorbide dinitrate 20bid; lasix 20qd; lipitor 20qd; metformin 500bid; lopressor 50bid; zantac 150bid discharge medications: 1. aspirin 325 mg tablet : one (1) tablet po daily (daily). 2. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 3. trazodone 50 mg tablet : 0.5 tablet po hs (at bedtime) as needed for insomnia. 4. atorvastatin 20 mg tablet : one (1) tablet po daily (daily). 5. metoprolol tartrate 50 mg tablet : three (3) tablet po tid (3 times a day). 6. acetaminophen 325 mg tablet : two (2) tablet po q4-6h (every 4 to 6 hours) as needed. 7. clonidine 0.1 mg tablet : one (1) tablet po tid (3 times a day). 8. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 9. isosorbide dinitrate 20 mg tablet : one (1) tablet po bid (2 times a day). 10. losartan 25 mg tablet : one (1) tablet po daily (daily). 11. furosemide 20 mg tablet : one (1) tablet po daily (daily). 12. insulin insulin sc (per insulin flowsheet) sliding scale & fixed dose fingerstick qachs insulin sc fixed dose orders breakfast dinner nph 15 units nph 15 units insulin sc sliding scale breakfast lunch dinner bedtime regular glucose insulin dose 0-60 mg/dl amp d50 d50 61-120 mg/dl 0 units 0 units 0 units 0 units 121-140 mg/dl 3 units 3 units 3 units 3 units 141-160 mg/dl 5 units 5 units 5 units 5 units 161-180 mg/dl 7 units 7 units 7 units 7 units 181-200 mg/dl 9 units 9 units 9 units 9 units 201-220 mg/dl 11 units 11 units 11 units 11 units 221-240 mg/dl 13 units 13 units 13 units 13 units 241-260 mg/dl 15 units 15 units 15 units 15 units 261-280 mg/dl 17 units 17 units 17 units 17 units 281-300 mg/dl 19 units 19 units 19 units 19 units 301-320 mg/dl 21 units 21 units 21 units 21 units 321-340 mg/dl 23 units 23 units 23 units 23 units 341-360 mg/dl 25 units 25 units 25 units 25 units > 360 mg/dl 27 units 27 units 27 units 27 units 13. celecoxib 200 mg capsule : one (1) capsule po daily (). 14. metronidazole 500 mg tablet : one (1) tablet po bid (2 times a day) for 7 days. discharge disposition: extended care facility: cape & islands discharge diagnosis: abdominal aortic aneurysm discharge condition: good discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk, gradually increasing your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (let the soapy water run over 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 over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: please call to make an appointment to follow up with dr. within 2 weeks of your discharge: ( please keep all of your other scheduled appointments: provider: , m.d. date/time: 8:30 provider: ,hem/onc hematology/oncology-cc9 phone: date/time: 1:30 provider: , md phone: date/time: 1:30 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances pulmonary artery wedge monitoring resection of vessel with replacement, aorta, abdominal transfusion of packed cells transfusion of other serum resection of vessel with replacement, abdominal arteries transfusion of platelets endarterectomy, abdominal arteries perioperative autologous transfusion of whole blood or blood components destruction of cranial and peripheral nerves procedure on three vessels procedure on vessel bifurcation diagnoses: esophageal reflux mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver acute kidney failure, unspecified abdominal aneurysm without mention of rupture hyperosmolality and/or hypernatremia backache, unspecified aneurysm of iliac artery 

Answer: The patient is high likely exposed to