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: recent shortness of breath. major surgical or invasive procedure: : 1. left carotid subclavian bypass with ptfe graft. 2. stent graft repair of descending thoracic aortic aneurysm. 3. thoracic and abdominal aortography. history of present illness: mr. is a 69 year old gentleman with a history of atrial fibrillation, who had presented to outpatient clinic complaining of recent shortness of breath. he underwent a ct scan for concerns of pulmonary fibrosis, and was found to have what appeared to be a chronic type-b descending thoracic aortic aneurysn 2-3cm distal to the left subclavian origin. he presented on for planned repair of his thoracic aneurysm. past medical history: pmh: htn, gout, afib, type b thoracic aortic dissection, remote smoking hx, 4.9cm aaa psh: left carotid subclavian bypass with ptfe graft, stent graft repair of descending thoracic aortic aneurysm, thoracic and abdominal aortography. social history: nonsmoker. occasional social alcohol. family history: cad, dm physical exam: pe on admission: gen: aaox4, nad cvs: rrr, no m/r/g pulm: ctab abd: obese, soft, nt/nd ext: warm, well perfused. pulses: palp throughout neuro: cn ii-xii grossly intact pe on discharge: gen: aaox4, nad. pleasant and conversant. cvs: rrr, no m/r/g (no afib presently) pulm: clear bilaterally abd: soft, obese, nontender, nondistended ext: warm, well perfused. groin puncture sites clean, dry, and intact. soft, without evidence of hematoma. no drainage, no surrounding erythema. pulses: palpable throughout neuro: cn ii-xii grossly intact brief hospital course: mr. was admitted on for planned repair of his type b thoracic aortic aneurysm. after appropriate preparation and consent, he underwent left carotid subclavian bypass with ptfe graft, stent graft repair of descending thoracic aortic aneurysm, and thoracic and abdominal aortography without complication. he tolerated the procedure well, and after initial recovery in the pacu, he was transferred to the vascular icu for post-operative monitoring. on , he remained hemodynamically stable, and was successfully diuresed x 1l. his neurologic signs were monitored and remained intact. he was kept npo and on bedrest, and his blood pressure was titrated to systolic between 100 and 140 mmhg. on , his lumbar drain was removed, his labs monitored and electrolytes repleted, and his diet was slowly advanced to regular. his pain was well controlled and he was out of bed to a chair. he was transferred to the vascular surgery floor for further recovery. on , his home medications were resumed, he was able to ambulate independently, and he was switched to oral pain medications. on , his foley catheter was removed and he was able to void without difficulty. he was ambulating independently, tolerating a regular diet, and was using only tylenol for pain control. his pulse and neurologic exams remained intact. his home coumadin was resumed with a lovenox bridge (for afib). he was deemed stable for discharge to home with follow up in 1 week with dr. for staple removal. he will resume his home coumadin with a 5 day lovenox bridge, and will follow up with his primary care provider, . for inr checks and coumadin dosing adjustments. he will be started on aspirin 81 mg daily. mr. understood these instructions and agreed with the plan. medications on admission: allopurinol 300'; amiodarone 200'; calcitriol 0.25'; pantoprazole 40'; valsartan-hydrochlorothiazide 320 mg-25 ''; verapamil 180 ''; warfarin ? dose; zolpidem 10'prn; vitamin d3; vitamin b-12; fish oil, crestor 40' discharge medications: 1. diovan hct 320-25 mg tablet sig: one (1) tablet po twice a day. 2. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed for sleep. 3. verapamil 180 mg tablet extended release sig: one (1) tablet extended release po q12h (every 12 hours). 4. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 5. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 6. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). 7. warfarin 2 mg tablet sig: one (1) tablet po days (,mo,tu,we,th,sa): *please follow up with dr. for inr checks and dosing adjustments*. 8. warfarin 2 mg tablet sig: two (2) tablet po days (fr): *please follow up with dr. for inr checks and dosing adjustments*. 9. enoxaparin 150 mg/ml syringe sig: one (1) subcutaneous (2 times a day) for 5 days: *until inr is therepeutic.*. disp:*10 150 mg/ml syringes* refills:*0* 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 12. crestor 40 mg tablet sig: one (1) tablet po once a day. 13. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 14. fish oil 1,000 mg capsule sig: one (1) capsule po once a day. discharge disposition: home discharge diagnosis: type b aortic dissection aortic aneurysm discharge condition: mental status: clear and coherent. activity status: ambulatory - independent. level of consciousness: alert and interactive. discharge instructions: please resume your home medications unless specifically instructed otherwise. please take your new medications as prescribed. avoid heavy lifting or strenuous activity until cleared by your surgeon. you may resume your usual diet. you may shower, but avoid submerging in the bathtub or swimming pool until cleared by your surgeon. please keep your follow up appointments! do not drive while taking pain medications. please resume your home coumadin dosing beginning today, . take lovenox as directed twice daily for 5 days until your inr is therapeutic. follow up with dr. for adjustments of your coumadin dose. followup instructions: please follow up with dr. in 1 week for wound check and staple removal. please follow up with dr. for inr checks and coumadin dose adjustments. procedure: arteriography of other intrathoracic vessels arteriography of other intra-abdominal arteries aorta-subclavian-carotid bypass endovascular implantation of graft in thoracic aorta diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified esophageal reflux unspecified pleural effusion unspecified essential hypertension gout, unspecified atrial fibrillation personal history of tobacco use other and unspecified hyperlipidemia postinflammatory pulmonary fibrosis morbid obesity abdominal aneurysm without mention of rupture dissection of aorta, thoracic insomnia, unspecified 

Answer: The patient is high likely exposed to