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: syncope major surgical or invasive procedure: aortic valve replacement utlizing a 25mm mosaic porcine heart valve history of present illness: mr. is an 81 year old gentleman who presented to outside hospital with syncopal episode. he has a known history of aortic stenosis and has had one similar episode of syncope in the past. his cardiologist is dr. . a recent cardiac catheterization showed no significant coronary artery disease. he denied a history of chest pain, shortness of breath, and dyspnea on exertion. patient also pmh notable for anemia and waldenstroms macroglobulinemia for which he has required blood transfusions in the past. mr. was stabilized on medical therapy and transferred to the for cardiac surgical intervention. past medical history: aortic stenosis waldenstroms macroglobulinemia anemia nephrolithiasis glaucoma gerd social history: remote tobacco use, admits to 30 pack year history. admits to social etoh. he is married with three children. he is a retired project manager. family history: denies premature coronary artery disease. physical exam: vitals: 98.8, 118/50, 95, 20, 95%ra general: wdwn elderly male in no acute distress heent: oropharynx benign, eomi neck: supple, no jvd lungs: cta bilaterally heart: regular rate and rhythm, harsh systolic murmur radiating to neck abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted pertinent results: 09:04pm blood wbc-3.8* rbc-3.11* hgb-9.2* hct-27.7* mcv-89 mch-29.5 mchc-33.1 rdw-17.6* plt ct-204 09:04pm blood pt-11.9 ptt-39.7* inr(pt)-1.0 09:04pm blood glucose-115* urean-18 creat-1.2 na-135 k-4.2 cl-100 hco3-25 angap-14 09:04pm blood alt-9 ast-23 ld(ldh)-180 alkphos-124* totbili-0.4 09:04pm blood albumin-2.7* calcium-9.8 phos-9.7* mg-2.4 09:04pm blood %hba1c-5.9 brief hospital course: mr. was admitted to cardiac surgery and underwent routine preoperative evaluation. workup was unremarkable and he was cleared for surgery. on , dr. performed an aortic valve replacement. operative course was notable for possible cold agglutination during hypothermia. for additional surgical details, please see seperate dictated operative note. following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. given possible cold agglutination and hyperviscosity syndrome associated with waldenstroms, hematology was consulted for further evaluation. spep and viscosity assays were obtained. he displayed no clinical signs on neurologic complications. he otherwise remained stable from a cardiac standpoint and transferred to the sdu on postoperative day one. due to intermittent episodes of paroxysmal atrial fibrillation, amiodarone was initiated and beta blockade was advanced as tolerated. he was also started on coumadin with a lovenox bridge. spep and serum viscosity continued to be followed closely along with his hematocrit. he will follow up with his outpatient oncologist within one week. he was ready for discharge to rehab on pod #6. medications on admission: ranitidine, alphagan eye gtts, potassium citrate discharge medications: 1. enoxaparin 60 mg/0.6 ml syringe sig: one (1) subcutaneous (2 times a day): until inr >=2.0. 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 daily (daily). disp:*30 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. tablet(s) 7. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. 10. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. 11. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400 x 4 days, then 400 daily x 1 week, then 200 daily ongoing until dc'd by cardiologist. 12. warfarin 2 mg tablet sig: one (1) tablet po once (once) for 1 doses. discharge disposition: extended care facility: rehabilitation and nursing center - discharge diagnosis: aortic stenosis - s/p avr waldenstroms macroglobulinemia nephrolithiasis glaucoma gerd discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt dr. (hematologist) within one week procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft transfusion of packed cells transfusion of platelets diagnoses: esophageal reflux atrial fibrillation aortic valve disorders unspecified glaucoma other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hypothermia macroglobulinemia other named variants of lymphosarcoma and reticulosarcoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to