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: aspirin attending: chief complaint: asymptomatic major surgical or invasive procedure: coronary artery bypass graft x1 (saphenous vein graft >right coronary artery), aortic valve replacement ( epic supra porcine) cardiac catheterization history of present illness: 78 year old gentleman with history of aortic stenosis followed by serial echocardiograms. in his aortic valve area was 0.9cm2 and he had a 60% right coronary artery leasion. a recently repeated echocardiogram showed his aortic valve area to be 0.62cm2. he was admitted to on for a cardiac catheterization to further evaluate his aortic valve and coronary artery disease. this revealed his aortic valve area to be 0.58cm2 with a mean gradient of 53mmhg. his right coronary artery had an 80% lesion, his left anterior descending artery was 50% stensosed and his circumflex had a 50% stenosis. he denies any symptoms of dyspnea, fatigue, chest pain or orthopnea. he has been transferred today from for surgical evaluation. past medical history: aortic stenosis coronary artery disease hyperlipidemia hypertension herpes zoster with postherpatic neuralgia right ear surgery for diverticulitis s/p turp s/p tonsillectomy/adenoidectomy social history: lives with: alone occupation: retired tobacco: ppd for 21 years etoh: denies family history: sister with valve replacement in her late 70's physical exam: preop exam: pulse: 75 sr resp: 18 o2 sat: 100% b/p: 121/63 height: 64" weight: 154lbs bsa 1.8 general: wdwn in nad skin: warm, dry and intact. heent: ncat, perrla, eomi, sclera anicteric, op benign. minimal swelling in right auricular/periauricular area but tender to palpation. edentulous neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr, iv/vi sem, nl s1-s2 no s3. abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused right radial and brachial cath sites noted. no edema varicosities: spider varicosities bilaterally l>r. gsv appears suitable. neuro: grossly intact pulses: femoral right:2 left:2 dp right:1 left:1 pt :1 left:1 radial right:2 left:2 carotid bruit transmitted vs. bruit pertinent results: intraop echo prebypass: the left atrium is mildly dilated. there is moderate symmetric left ventricular hypertrophy. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. diastolic function consistent with impaired relaxation. no clot in laa, intact ias. mildly dilated coronary sinus. no , normal ef > 55%. postbypass: normally functioning av bioprosthesis. no other changes. no disseciton seen after cannula removed. no , > 55%. . cardiac catheterization 1. selective coronary angiography of the rca demonstrated a proximal 70 stenosis. the lca demonstrated no significant coronary artery disease. 2. selective venous conduit angiography demonstrated the svg to rca to be patent with normal flow. . cta mild aortic arch calcifications extending into the descending thoracic aorta with a small amount of calcification along the sinotubular junction as described above. . cxr interval increase in small pleural effusions. the patient has been extubated and the swan-ganz catheter has been withdrawn. . cxr in comparison with study of , there are substantial bilateral pleural effusions with the change in appearance most likely reflecting the pa upright rather than portable semi-upright position. the pulmonary vessels are essentially within normal limits. compressive atelectatic changes are seen at the bases. . labs: wbc-8.1 rbc-3.29* hgb-10.4* hct-30.5* rdw-15.1 plt ct-201# wbc-7.9 rbc-3.29* hgb-10.5* hct-29.6* rdw-14.9 plt ct-87* wbc-8.6 rbc-3.36* hgb-10.6* hct-30.3* rdw-14.9 plt ct-72* wbc-13.8*# rbc-3.50* hgb-11.3* hct-31.5* rdw-15.3 plt ct-79* glucose-110* urean-15 creat-0.8 na-135 k-3.9 cl-103 hco3-25 glucose-116* urean-14 creat-0.2* na-133 k-3.2* cl-97 hco3-29 glucose-118* urean-15 creat-0.8 na-130* k-4.0 cl-89* hco3-35* glucose-101* urean-14 creat-0.8 na-128* k-4.4 cl-94* hco3-31 glucose-104* urean-9 creat-0.7 na-131* k-5.3* cl-98 hco3-26 04:37am blood mg-2.2 brief hospital course: he was transferred from outside hospital and underwent preoperative workup. on he was brought to the operating room for coronary artery bypass graft and aortic valve replacement surgery. see operative report for further details. he received cefazolin and vancomycin for perioperative antibiotics. post operatively he was transferred to the intensive care unit for post operative management. he initially required inotropes and pressors for hemodynamic instability and a tee was obtained that revealed rv hypokinesis. after further evaluation with increased lactate and acidosis he was returned to the operating room and had angiogram to evaluate his right graft which was patent. he remained on pressors and inotropes receiving volume with improvement overnight. on postoperative day one he remained intubated and sedated. on postoperative day two, his pressors and inotropes were continued to be weaned to off and diuretics were started for gentle diuresis. he awoke neurologically intact and was extubated without incident. beta blockade and statin therapy were initiated. a contraction alkalosis was noted which responded well to diamox. on postoperative day three he remained stable, and all chest tubes and temporary pacing wires were removed without complication. he was then transferred to the floor. he remained in a normal sinus rhythm. beta blockade and acei were advanced as tolerated to optimize heart rate and blood pressure. over several days, he continued to make clinical improvements with diuresis and was medically cleared for discharge to the tcu at st. raphaels rehab on postoperative day six. discharge chest x-ray was notable for bibasilar atelectasis and bilateral pleural effusions. oxygen saturations at discharge were 100% on room air. at discharge, he remained fluid overloaded and will continue to require diuresis which should be titrated accordingly. all surgical incisions were healing well, and his pain was well controlled with tylenol. percocet was discontinued during his hospital stay secondary to some mild confusion. prior to discharge, followup appts with dr. and his cardiologist were arranged. medications on admission: neurontin 300mg three times a day lisinopril 10mg daily toprol xl 50mg daily nortriptyline 25mg daily zocor 20mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. nortriptyline 25 mg capsule sig: one (1) capsule po hs (at bedtime). 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 20 mg tablet sig: one (1) tablet po twice a day: hold if sbp < 100mmhg. 8. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day): hold for hr < 55 or sbp < 90 mmhg. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 10. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 11. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 12. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 1 weeks: lasix 40mg daily x 1 week, then re-evaluate need for ongoing diuresis. 13. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po daily (daily) for 1 weeks. discharge disposition: extended care facility: tba discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts aortic stenosis s/p aortic valve replacement hyperlipidemia hypertension postop pleural effusions discharge condition: alert and oriented x3 nonfocal spanish speaking ambulating with incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. 2+ edema bilaterally discharge instructions: 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 **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: dr () at 1:15 pm cardiologist: dr. at 1:45 pm 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: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia aortic valve disorders other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiogenic shock mixed acid-base balance disorder carrier or suspected carrier of methicillin susceptible staphylococcus aureus 

Answer: The patient is high likely exposed to