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: chest pain major surgical or invasive procedure: emergent repair of aortic dissection(replacement of ascending aorta and hemiarch with resuspension of aortic valve) history of present illness: mr. is a 41 year old male with known history of poorly controlled hypertension, hyperaldosteronism and right adrenal adenoma who presented to with chest pain. ct scan revealed type a aortic dissection and he was emergently transferred to the for surgical repair. past medical history: hypertension dyslipidemia s/p mesenteric biopsies hyperaldoseteronism, adrenal adenoma depression, history of suicidal ideation hemorrhoids s/p appendectomy social history: denies tobacco and etoh. married, lives with wife. unemployed, previously worked as a landscaper. family history: mother with hypertension. no premature coronary artery disease. physical exam: discharge exam: vss, afebrile bp 144/74 lungs- clear heart:rsr. at72 abdomen:benign ext:w/o edema neuro:intact wounds:clean and dry. sternum stable. pertinent results: intraop tee: prebypass 1. the left atrium is normal in size. no atrial septal defect or pfo is seen by 2d or color doppler. 2. there is severe symmetric left ventricular hypertrophy. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. a mobile density is seen in the ascending, arch and descending aorta consistent with an intimal flap/aortic dissection. the intimal flap terminates at the sinotubular junction. the arch and head vessels are difficult to visualize. flow is seen in the left subclavian artery. there are no echocardiographic signs of tamponade. there are simple atheroma in the aortic arch and descending thoracic aorta. 5. there are three aortic valve leaflets. mild (1+) aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. postbypass 1. preserved biventricular systolic function. 2. trace aortic insufficiency, trace mitral regurgitation. renal ultrasound: limited examination. however, there is evidence of vascular flow in both renal hila. chest/abd ct scan: 1. similar appearance of aortic dissection, with all major branches arising from the true lumen, including each main renal artery. 2. small nodule in the right adrenal gland of fat density, consistent with a myelolipoma. 04:26am blood wbc-11.6* rbc-3.43* hgb-9.7* hct-28.7* mcv-84 mch-28.2 mchc-33.7 rdw-14.4 plt ct-598* 04:26am blood glucose-84 urean-19 creat-1.2 na-139 k-3.6 cl-95* hco3-33* angap-15 04:26am blood mg-2.3 01:47am blood wbc-12.0* rbc-3.39* hgb-9.5* hct-28.4* mcv-84 mch-28.0 mchc-33.5 rdw-14.6 plt ct-621* 04:00am blood wbc-12.6* rbc-3.23* hgb-9.2* hct-27.1* mcv-84 mch-28.6 mchc-34.1 rdw-14.9 plt ct-503* 01:47am blood plt ct-621* 01:47am blood glucose-85 urean-16 creat-1.1 na-138 k-3.5 cl-96 hco3-30 angap-16 04:00am blood glucose-104 urean-16 creat-0.9 na-137 k-3.7 cl-97 hco3-31 angap-13 01:47am blood alt-51* ast-31 alkphos-126* totbili-0.7 09:30am blood wbc-13.9* rbc-3.52* hgb-10.0* hct-29.0* mcv-82 mch-28.3 mchc-34.4 rdw-14.4 plt ct-646* 09:30am blood glucose-111* urean-21* creat-1.4* na-138 k-3.2* cl-93* hco3-33* angap-15 brief hospital course: mr. was admitted and underwent emergent repair of his type a aortic dissection. for surgical details, please see operative note. following the operation, he was brought to the cvicu for invasive monitoring. on postoperative day one, he awoke neurologically intact and was extubated without incident. he initially appeared somewhat confused and at times disoriented to time and place. he remained hypertensive and was initially maintained on nitroglycerin and labetalol with hydralazine prn. antihypertensives were titrated for goal sbp < 120mmhg. given resistent hypertension, the cardiology service was consulted. he was placed on multiple antihypertensives, and underwent workup for secondary hypertension. he concomitantly experienced persistent hypoxia and desaturations. he required face tent and high flow nebulizers. with gentle diuresis, ambulation, incentive spirometry, and aggressive pulmonary toilet there was gradual improvement of oxygen saturations. postoperative ct scan was notable for a stable type b aortic dissection with all major branches arising from the true lumen, including each main renal artery. the ct scan was also notable for bibasilar atelectasis and small to moderate pleural effusions. the vascular service was consulted for possible aortic fenestration. aortic fenestration was not performed on this admission as there was no indication for same. the bp was controlled on multiple medications, with systolics in 140 range. he was stable and ready for discharge. a repeat ct scan will be done to assess stability of his dissection. medications, restrictions and follow up were discussed with the patient prior to his discharge. medications on admission: pravachol 20 qd, aspirin 81 qd, procardia 90 qd, kcl 40 meq qd, neurontin 300 tid, trazadone 200 qhs, wellbutrin , flouxetine 20 qd, atenolol 100 qd, aldactone 100 qd, risperdal 2 qhs, ? methadone discharge medications: 1. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 5. amlodipine 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. terazosin 10 mg capsule sig: one (1) capsule po at bedtime. disp:*30 capsule(s)* refills:*2* 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. tablet(s) 8. labetalol 300 mg tablet sig: four (4) tablet po twice a day. disp:*360 tablet(s)* refills:*2* 9. hydralazine 50 mg tablet sig: 1 and tablet po q6h (every 6 hours). disp:*180 tablet(s)* refills:*2* 10. lisinopril 40 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 11. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours). disp:*50 tablet(s)* refills:*0* 12. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsun (every sunday). disp:*4 patch weekly(s)* refills:*2* 13. hydrochlorothiazide 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 14. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 15. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day. disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: type a aortic dissection - s/p repair hypertension hypercholesterolemia prior abdominal surgery - s/p mesenteric biopsies adrenal adenoma depression, history of suicidal ideation discharge condition: good discharge instructions: no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks shower daily, no baths or swiming report any temperature gretaer than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week report any redness of, or drainage from incisions no lotions, creams or powders to incisions take all medications as directed followup instructions: dr. in weeks () dr. in 2 weeks () dr. () on @ 1:45 pm ct scan appt () on @ 1pm clinic in 2 weeks md procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart resection of vessel with replacement, thoracic vessels open heart valvuloplasty of aortic valve without replacement diagnoses: unspecified pleural effusion acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortic valve disorders depressive disorder, not elsewhere classified hypopotassemia pulmonary collapse hypoxemia dissection of aorta, thoracoabdominal benign neoplasm of adrenal gland hyperaldosteronism, unspecified 

Answer: The patient is high likely exposed to