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: dyspnea. major surgical or invasive procedure: - cardiac catherization - aortic valve replacement (23 mm pericardial) coronary artery bypass graft x1 history of present illness: mr. is a 77 year-old male with a history of cad and aortic stenosis who presents with dyspnea. had been in his usual state of health until approximately two weeks ago when he began feeling dyspnea on exertion. previously, he was able to walk >100 feet and multiple flights of stairs without any sob. he began feeling quite dyspneic with 2 flights of stairs. also noted a cough, "gurgling" and sob with lying flat. no pnd noted. he has no prior history of syncope. regarding chest pain/discomfort, he is vague. did not take his medications last night (he takes all his meds at night and will forget to take every 2 weeks or so). he awoke at 1am on the morning of admission to urinate. after lying back down he felt extremely short of with the gurgling sound in his throat. he had an extremely hard time catching his , he called a cab to bring him to the ed. in the ed, vitals showed hr 120, bp 205/117, rr 19, 85% on 2 liters. he was unable to speak in complete sentences given dyspnea. started nrb. sl nitro was given; 40mg iv lasix given; additional nitro given; aspirin 325mg given. cpap was started. iv nitro was started but pressures dorpped to 50/palp and the nitro was quickly shut off. pressures remained over 100 systolic thereafter with rates in the 90s. he was weaned to 5 liters nc with sats in the 93-95% range and a rr of 18. 950cc of total uo put out. ros: no fevers/chills/weight change. no palpatations, nausea/vomiting, diarrhea/constipation. no weakness/numbness. past medical history: 1. aortic stenosis: values as of echo: - peak gradient: 75 mm hg - mean gradient: 50 mm hg - valve area: *0.7 cm2 (nl >= 3.0 cm2) - ef >55% 2. coronary artery disease - ef of 59%. - right-dominant system - lmca: 40% lesion - lad stent patent; proximal 30% stenosis proximal to the stent - ramus intermedius: 50% ostial stenosis. - lcx: free of flow-limiting disease. - rca: calcified 30% lesion proximally. 3. hyperlipidemia: - : tc 195, tg 45, hdl 104, ldl 82 4. chronic obstructive pulmonary disease - fvc 69% predicted; fev1 71%; mmf 39%; fev1/fvc 103% 5. pud: gastritis on egd of 6. oa 7. alcohol use 8. asbestosis social history: drinks ~six pack per day plus wine. no history of withdrawal. non-smoker. lives with wife. family history: nc. physical exam: vitals - af, bp 118/66, hr 94, rr 20, o2 96% on 5 liters gen - lying in bed with nc on, in no distress heent - jvp is 2-3 cm above the clavicle at 30 degrees; +hj reflux; full carotid pulses without apparent delay cv - tachycardic with harsh systolic murmur pulm - crackles about 1/3 up on right; at base on left abd - soft and non-tender; liver palpable but non-tender ext - warm; 1+ edema bilaterally; dps easily palpable pertinent results: 129 92 8 ------------ 165 3.7 25 0.6 wbc 10.5 n:85.3 l:9.4 m:2.9 e:1.6 bas:0.8 plt 292 hct 43.9 pt: 12.5 ptt: 26.5 inr: 1.1 ua: 1.007/6.5; otherwise negative lactate:2.1 trop-t: <0.01 ck: 102 mb: 7 probnp: 4603 ekg (): sinus tachycardia with a rate of ~120bpm. normal axis. ivcd and laa. lvh. st-depressions in v5-v6. cxr (): findings most consistent with pulmonary edema with superimposed pneumonia difficult to exclude. cardiac cath comments: 1. selective coronary angiography of this right dominant system demonstrated only minimal coronary artery disease. the left main was calcified in the distal portion of the vessel with a 30-40% stenosis. the left anterior descending artery demonstrated a widely patent stent in the proximal portion of the vessel with no other significant disease. a large ramus intermedius demonstrated a 50% ostial lesion. the left circumflex demonstrated a 30-40% lesion at the origin of the vessel. the right coronary artery was a large diameter vessel with only minimal disease. 2. lv ventriculography was deferred. 3. the aortic valve was not crossed after discussion with surgeon. previous cardiac catheterizations and echocardiograms demonstrated critical aortic stenosis with a valve area of approximately 0.7-0.8 cm2. 4. limited resting hemodynamics demonstrated low right (rvedp = 6 mm hg) and left (mean pcwp 10 mm hg) heart filling pressures. the cardiac index was preserved at 2.9 l/min/m2). carotid duplex ultrasound no significant ica stenosis bilaterally echo the left atrium is mildly dilated. the estimated right atrial pressure is 5-10 mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size. regional left ventricular wall motion is normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (?#) are severely thickened/deformed. there is severe aortic valve stenosis (area 0.7cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study (images reviewed) of , the lv systolic function is now less vigorous, mitral regurgitation is slightly more prominent and pulmonary arterial systolic pressure is higher. the severity of aortic stenosis is similar. brief hospital course: mr. was admitted to the on for further management of pulmonary edema. he was diuresed and admitted to the cardiac care unit. he underwent a cardiac catheterization which revealed a patent lad stent and a 50% ramus stenosis. an echocardiogram was performed which showed severe aortic stenosis as previously known with an aortic valve area of 0.7cm2. given the severity of his disease, the cardiac surgical service was consulted. as a right middle lobe nodule was noted on chest x-ray, the thoracic surgical service was consulted. it was recommended that a ct scan be obtained and that he follow-up with dr. as an outpatient. on mr. was taken to the operating room where he underwent coronary artery bypass grafting to one vessel and an aortic valve replacement using a 23mm pericardial valve. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. by postoperative day one, mr. had awoke neurologically intact and had been extubated. he was then transferred to the step down unit for further recovery. mr. was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. mr. continued to make steady progress and was discharged home on postoperative day five. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: aspirin toprol lipitor hctz multivitamin discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks: please take 40mg twice a day for 7 days then decrease to 40mg once a day for 1 week . disp:*21 tablet(s)* refills:*0* 8. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po twice a day for 2 weeks: please take 20 meq twice a day for 1 week then decrease to 20meq once a day for 1 week - discontinue when lasix complete . disp:*56 tablet sustained release(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: aortic stenosis s/p avr coronary artery disease congestive heart failure, diastolic chronic obtructive pulmonary disease peptic ulcer hyperlipidemia osteoarthritis asbestosis secondary: 1. chronic obstructive pulmonary disease 2. hyperlipidemia 3. prior pud discharge condition: good discharge instructions: please shower daily, 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: provider: scan phone: date/time: 8:00 provider: breathing tests phone: date/time: 9:40 provider: , intepretation billing date/time: 10:00 dr in 4 weeks please call to schedule appt 2 wound check at 11 am dr in weeks please call to schedule appt dr in weeks please call to schedule appt follow-up with dr. as instructed. procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified aortic valve disorders diastolic heart failure, unspecified asbestosis peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction osteoarthrosis, unspecified whether generalized or localized, other specified sites 

Answer: The patient is high likely exposed to