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: lipitor attending: chief complaint: chest pain major surgical or invasive procedure: aortic valve replacement(32mm ce tissue), coronary artery bypass graft x 2 (svg to lad, svg to om), aortic endarterectomy history of present illness: this 81 year old patient with severe aortic stenosis and cad has been experiencing daily episodes of chest pain for the last 10 days. his symptoms occur with activity such as taking a shower, doing yard work or after he eats dinner. he has some associated shortness of breath. the patient has a history of a cardiac catheterization done at in due to unstable angina which revealed a right dominant system with an 80% discrete om1 artery and a discrete 50% rca lesion. ef 65%. an aortoiliac angiogram was also done which revealed marked tortuosity, right greater than left and a mild fusiform aneurismal dilation of the distal aorta. (of note, there is no indication on the cath report that any coronary intervention was done). past medical history: coronary artery disease, hypertension, hypercholesterolemia, rheumatic fever (as child), rbbb, gastroesophageal reflux disease, chronic renal insufficiency, s/p turp, s/p carpal tunnel release bilaterally, s/p benign tumor removed from chest wall removed 50 years ago social history: quit smoking 1 month ago/previously smoked 1 pack per week/40+ yr smoking history. married, lives at home with his wife. alcohol- 1-2 drinks per day. retired. family history: father died at age 74 from heart disease. mother died from ??????s lymphoma. one brother died at age 9 from congenital heart disease physical exam: vs - t 96.9 bp 139/78 hr 73 rr 22 95% ra gen: nad. mood, affect appropriate. answers questions appropriately. lying flat after cardiac catheterization heent: ncat. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with flat jvp. cv: very soft s1s2, iii/vi systolic murmer at rusb and lusb, gallarvadin murmur at apex. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab in anterior lung fields. abd: soft, ntnd. no hsm or tenderness. ext: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: dp dopplerable b/l pertinent results: cardiac cath: 1. selective coronary angiography revealed 2 vessel disease within the left coronary arterial anatomy and presumed rca disease. the lad had 70% proximal stenosis. the lcx had a proximal long segment of 80% stenosis. the om1 had a proximal long segment of 80% stenosis. the rca was not selectively cannulated, but presumed likely to be totally occluded as left to right collaterals were visulalized. 2. limited resting hemodynamic assessment revealed elevated systemic arterial pressure with an aortic pressure of 157/76. the aortic valve was evaluated with careful pullback from lv to aorta as well as simultaneous measurement of lv pressure and femoral artery pressure. the mean gradient was 28.12 mm hg, consistent with a calculated aortic valve area of 1.02 cm2. the pcwp was normal at 12 mm hg. the cardiac index was below normal at 2.36. echo: prebypas: very limited tee examination as unable to advance tee probe beyond 35 cms. very poor image quality. dr informed re very limited tee exam. 1. no atrial septal defect is seen by 2d or color doppler. 2.due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is moderately depressed (lvef= 35 %). no trans gastric images obtained. very poor quantification of ejection fraction. 3.the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 4. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. 5. the mitral valve leaflets are mildly thickened. dr. was notified in person of the results on at 1500 hours. post bypass: 1. very limited views. unable to comment on post bypass findings. brief hospital course: mr. was electively admitted for a cardiac cath. cath revealed severe three vessel coronary artery disease and moderate to severe aortic stenosis. please see report for details. cardiac surgery was consulted and he underwent usual pre-operative work-up. on he was brought to the operating room where he underwent a coronary artery bypass graft x 2 and aortic valve replacement. please see operative report for details. mr. was transferred to the cvicu for invasive monitoring in stable condition. in initial post-op course he required multiple inotropes for hypotension, along with multiple blood transfusions and amiodarone for atrial fibrillation. he required aggressive diuresis and dccv x 2 on post-op day two for af. also on this day bilateral chest tubes were placed d/t pleural effusion. renal service was consulted d/t renal failure. on post-op day five heparin was started d/t continued episodes of atrial fibrillation. his inotropes were slowly weaned off over time. mr. required prolonged intubation d/t difficulty with oxygenation. he was eventually weaned from sedation and was extubated on post-op day nine. chest tubes were eventually removed. vancomycin had to be restarted d/t bacteremia. the patient was transfered to the floor on pod 12 where he continued to progress. by the time of discharge on pod 15, the pt was ambulating with assistance, the sternal wound was healing and pain was controlled with oral analgesics. he was discharged in good condition to . medications on admission: diovan 320mg daily in the am, felodipine 10mg daily in the am, metoprolol succinate 25mg daily in the am, aspirin 81mg daily in the am discharge medications: 1. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). 2. ipratropium-albuterol 18-103 mcg/actuation aerosol : six (6) puff inhalation q4h (every 4 hours). 3. simvastatin 10 mg tablet : two (2) tablet po daily (daily). 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q2h (every 2 hours) as needed. 5. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. toprol xl 100 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po once a day. 8. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 9. acetaminophen 325 mg tablet : two (2) tablet po q 8h (every 8 hours). 10. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 11. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 12. warfarin 1 mg tablet : one (1) tablet po once daily at 4 pm: hold for inr > 3, md to dose daily based on inr goal for a-fib. 13. furosemide 10 mg/ml solution : one (1) injection tid (3 times a day). 14. vancomycin 750 mg iv q 24h 15. heparin flush (10 units/ml) 2 ml iv prn 16. sodium chloride 0.9% flush 10 ml iv prn line flush temporary central access-icu: flush with 10ml normal saline daily and prn. 17. diovan 80 mg tablet : one (1) tablet po once a day. discharge disposition: extended care facility: hospt discharge diagnosis: aortic stenosis s/p aortic valve replacement coronary artery disease s/p coronary artery bypass graft x 2 pmh: hypertension, hypercholesterolemia, rheumatic fever (as child), rbbb, gastroesophageal reflux disease, chronic renal insufficiency 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: dr. in 4 weeks dr. in weeks dr. in weeks md procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures intraoperative cardiac pacemaker left heart cardiac catheterization diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances other electric countershock of heart arterial catheterization open and other replacement of aortic valve with tissue graft pulmonary artery wedge monitoring injection of antibiotic monitoring of cardiac output by other technique transfusion of packed cells transfusion of packed cells endarterectomy, aorta procedure on single vessel diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia other postoperative infection unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atherosclerosis of aorta atrial fibrillation personal history of other infectious and parasitic diseases aortic valve disorders personal history of tobacco use cellulitis and abscess of leg, except foot methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site right bundle branch block infection and inflammatory reaction due to other vascular device, implant, and graft obesity, unspecified ulcer of calf family history of other cardiovascular diseases family history of congenital anomalies family history of other lymphatic and hematopoietic neoplasms 

Answer: The patient is high likely exposed to