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: cipro / sulfa(sulfonamide antibiotics) attending: chief complaint: chest pain major surgical or invasive procedure: on : 1. redo sternotomy. 2. coronary artery bypass grafting x 1 with saphenous vein graft to the right coronary artery. 3. redo aortic valve replacement with a 21-mm st. tissue valve, reference number , serial number . history of present illness: 82 year old male s/p bioprosthetic avr with cabg in , sss s/p pacemaker who presented from adult daycare with chest pain that started at 1pm this afternoon. he notes that he was in usualy state of health and repairing a mechanical watch when he started to feel a "tight squeezing pain" on the left side of his chest. this pain was non-radiating. he noted that during this episode was marked by nausea and shortness of breath. this episode lasted for two hours. he was brought to the emergency room and admitted for further evaluation. upon he was found to have severe calcific stenosis of biprosthectic aortic valve and is now being referred to cardiac surgey for redo-aortic valve replacement. past medical history: aortic stenosis, coronary artery disease secondary: dyslipidemia hypertension sick sinus syndrome s/p dual chamber pacemaker aortic stenosis of bioprosthesis mild dementia nephrolithiasis gerd bph right prox fibula fx from car accident, social history: mr. lives by himself in an elderly care facility in . his closest relation is his son, who is also his emergency contact. is a widower whose wife passed in the early . when he was younger, he worked as a watch repairman. etoh: he takes glass of wine 3-4 times a week. tob: he smoked 60 years ago but is not currently a smoker. his children do the bills and do his medications. previous cardiology notes from dr. and document a history of poor medical compliance. family history: his father died of heart disease and his mother died of cancer. physical exam: physical exam on admission pulse:59 resp:18 o2 sat:96/ra b/p 112/74 height:69" weight:69.9 kgs general: skin: dry intact heent: eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr murmur systolic grade 3 abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema neuro: grossly intact pulses: femoral right: p left: p dp right: p left: p pt : p left: p carotid bruit right: - left: - pertinent results: intra-op tee : conclusions pre-bypass: the left atrium is dilated. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. there is a small echodensity in the laa suggestive of thrombus or trabeculation. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed (lvef=35 %). no masses or thrombi are seen in the left ventricle. there are focal calcifications in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. a bioprosthetic aortic valve prosthesis is present. the transaortic gradient is higher than expected for this type of prosthesis. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are severely thickened/deformed. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate to severe tricuspid regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room prior to incision. post-bypass: the patient is av paced on milrinone, vasopressin and epinephrine infusions. there is a well seated bioprosthetic valve in the aortic position. peak and mean gradients across the valve are 40 & 20mmhg respectively. there is good leaflet mobility. there is no or subvalvular membrane. there is no ai. the mr is now mild. the tr is now mild. biventricular function is improved on inotropic support, ef45%. the aorta remains intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 09:25 . 05:51am blood wbc-7.2 rbc-3.03* hgb-9.2* hct-28.9* mcv-96 mch-30.6 mchc-32.0 rdw-14.3 plt ct-202 03:35am blood wbc-7.0 rbc-2.91* hgb-9.2* hct-27.9* mcv-96 mch-31.6 mchc-32.9 rdw-14.1 plt ct-157 05:51am blood urean-17 creat-0.6 na-138 k-4.2 cl-103 05:54am blood glucose-173* urean-20 na-139 k-4.6 cl-105 hco3-25 angap-14 05:51am blood mg-2.1 brief hospital course: on mr. was taken to the operating room and underwent redo sternotomy, coronary artery bypass grafting x 1 with saphenous vein graft to the right coronary artery, redo aortic valve replacement with a 21-mm st. tissue valve, cross-clamp time: 78 minutes.pump time: 106 minutes. please refer to operative report for further surgical details. he tolerated the procedure well and was transferred to the cvicu for invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. permanent pacer was interrogated. chest tubes and pacing wires were discontinued without complication. the patient was transferred to the telemetry floor on pod 2 for further recovery. he had some periods of agitation. psychiatry was consulted, given his history of dementia. he did receive one dose of iv haldol and he was placed on zyprexa prn. mental status cleared prior to discharge. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 6 the patient was ambulating, yet deconditioned, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to newbridge on the in in good condition with appropriate follow up instructions. medications on admission: simvastatin 20 mg daily atenolol 25 mg daily lisinopril 20 mg daily tamsulosin 0.4 mg daily aspirin 325 mg daily tramadol 50 mg prn q6hours omeprazole 40 mg daily senna 8.6 mg daily docusate sodium 100 mg lidoderm 5 %(700 mg/patch) adhesive patch discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 11. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 12. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed for constipation. 13. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: newbridge on the - discharge diagnosis: aortic stenosis, coronary artery disease secondary: dyslipidemia hypertension sick sinus syndrome s/p dual chamber pacemaker aortic stenosis of bioprosthesis mild dementia nephrolithiasis gerd bph right prox fibula fx from car accident, discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right- healing well, no erythema or drainage edema trace discharge instructions: weigh yourself every morning, md if weight goes up more than 3 lbs. please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: surgeon: , md phone: date/time: 1:00 cardiologist: , md phone: date/time: 2:40 provider , : date/time: 1:00 please call to schedule appointments with your primary care dr. , in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia other complications due to heart valve prosthesis aortic valve disorders other and unspecified hyperlipidemia cardiac pacemaker in situ other alteration of consciousness other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation dementia, unspecified, without behavioral disturbance other air leak 

Answer: The patient is high likely exposed to