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 on exertion major surgical or invasive procedure: - minimally invasive mitral valve repair through a right axillary thoracotomy with resection of posterior leaflet p2 and mitral valve annuloplasty with a 32mm future cg annuloplasty ring. history of present illness: 55 year old gentleman with a history of mitral valve regurgitation followed by serial echocardiogram. his most recent transesophageal echocardiogram showed a partially flail posterior leaflet (p3 and p2) with a highly eccentric, severe jet of mr. there was evidence of a torn chordae of the posterior leaflet. the ejection fraction was normal, there was no lv dilatation and left atrial enlargement with normal pa pressures. mr. is asymptomatic of his mitral valve disease. he has been referred by his cardiologist for minimally invasive mitral valve repair. cath showed nl.cors and 4+ mr. past medical history: mitral regurgitation htn back pain etoh abuse right facial fractures with mva (teenager) social history: occupation: radiation instructor in ship yard; apt. maintenance last dental exam:6 months ago lives with wife and daughter in race: caucasian tobacco: smoked for 5 years in his 20's. etoh: 6-8 beers daily family history: noncontributory physical exam: vs: t: 98.0 hr: 60-70 sr bp: 120-140/90 sats: 97% ra general: 55 year-old male in no apparent distress heent: normocephalic, mucus membranes neck: supple no lymphadenopathy card: rrr normal s1, s2 resp: decreased breath sounds bilateral otherwise clear gi: benign extr: warm no edema incision: right mie site clean with steri-strips. no erythema neuro: non-focal pertinent results: echo prebypass no atrial septal defect is seen by 2d or color doppler. regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are myxomatous. there is moderate/severe mitral valve prolapse.( anterior leaflet - a2 portion ) there is partial posterior mitral leaflet flail. (p2 and p3 portions) torn mitral chordae are present. moderate to severe (3+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 900am. post bypass patient is in sinus rhythm and receiving an infusion of phenylephrine. biventricular systolic function is normal. annuloplasty ring seen in the mitral position. it appears well seated and there is mild mitral regurgitation seen in the posteromedial commissure. the mean gradient across the mitral valve is 5 mm hg. dr aware of post bypass findings brief hospital course: mr. was admitted to the on for surgical management of his mitral valve regurgitation. he was taken to the operating room where he underwent a minimally invasive mitral valve repair. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. over the next few hours, he awoke neurologically intact and was extubated. on postoperative day one, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. on pod3 he had a brief episode of nsvt in the setting of a large amount of diuresis. his electrolytes were repleted. he continued to be monitored with no further ectopy. he continued on beta-blockers. his pain was controlled with motrin and hydromorphone. he continued to make steady progress and was discharged to home with his wife and . medications on admission: lisinopril 10' discharge disposition: home with service facility: discharge diagnosis: mitral regurgitation htn back pain etoh abuse right facial fractures with mva (teenager) discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. please contact your at ( with all wound isssues. 2) monitor daily weights. report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 3) report any fever of greater then 100.5. 4) wash incision daily with soap and water. please shower daily. no lotions creams or powders to incisions for 6 weeks. 5) no driving while using narcotics. 6) take motrin 800mg every 8 hours for 2 weeks then stop. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in weeks. please follow-up with dr. in weeks. call all providers for appointments. procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: anemia, unspecified mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension personal history of tobacco use other specified cardiac dysrhythmias lumbago alcohol abuse, continuous other diuretics causing adverse effects in therapeutic use rupture of chordae tendineae 

Answer: The patient is high likely exposed to