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: captopril attending: chief complaint: increasing fatigue major surgical or invasive procedure: mvrepair(28 ce band)/avr(21 mm ce pericardial)/cabg x3(lima>lad,svg>pda,svg>om) right hemicolectomy, cholecystectomy, aortagram, sma bypass graft from right common iliac artery, small bowel resection history of present illness: patient was a 76 male complaining of increasing fatigue who had an echo showing worsening mitral reguritation. cath showed subtotal occlusion of the lad, mod-severe mr, ef 30-35%. past medical history: htn, hyperlipidemia cad with bms x2 of rca /instent restenosis arthritis, anemia social history: quit smoking 25 years ago, occasional alcohol, retired, lives with wife. family history: mother deceased from mi in late 80s. physical exam: (at exam ):hr 70 rr 15 157/49 nad flat after cath skin unremarkable teeth in very poor repair neck supple with full rom ctab anteriorly rrr no murmur abd soft, nt, nd +bs extrems warm, well-perfused, no edema or varicosities noted neuro grossly intact no carotid bruits appreciated pertinent results: 03:03am blood wbc-7.3 rbc-3.07* hgb-9.2* hct-26.3* mcv-86 mch-30.1 mchc-35.1* rdw-15.4 plt ct-78* 03:57pm blood neuts-75* bands-1 lymphs-18 monos-3 eos-0 baso-0 atyps-0 metas-0 myelos-2* promyel-1* nrbc-2* 03:57pm blood hypochr-3+ anisocy-1+ poiklo-1+ macrocy-normal microcy-normal polychr-1+ ovalocy-1+ schisto-occasional burr-1+ 03:03am blood pt-28.7* ptt-86.1* inr(pt)-2.9* 03:03am blood plt smr-very low plt ct-78* 03:03am blood glucose-200* urean-55* creat-2.2* na-159* k-6.4* cl-99 hco3-19* angap-47* 03:03am blood alt-586* ast-4466* ld(ldh)-4932* alkphos-177* amylase-28 totbili-2.7* 03:03am blood lipase-36 03:03am blood albumin-1.6* calcium-10.5* phos-12.8* mg-3.6* 05:15am blood type-art po2-68* pco2-35 ph-7.18* caltco2-14* base xs--14 05:15am blood glucose-234* lactate-26.4* k-6.6* echocardiography report , (complete) done at 3:06:05 pm preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 76 m hgt (in): 63 bp (mm hg): / wgt (lb): 135 hr (bpm): bsa (m2): 1.64 m2 indication: intraop sternal debridement, ex lap icd-9 codes: 440.0, 396.9 test information date/time: at 15:06 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw1-: machine: aw2 echocardiographic measurements results measurements normal range mitral valve - mean gradient: 3 mm hg findings left atrium: mild la enlargement. no thrombus in the laa. right atrium/interatrial septum: mildly dilated ra. left ventricle: mild symmetric lvh. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. simple atheroma in ascending aorta. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: bioprosthetic aortic valve prosthesis (avr). avr well seated, normal leaflet/disc motion and transvalvular gradients. no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mitral valve annuloplasty ring. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient appears to be in sinus rhythm. conclusions pre bypass: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. overall left ventricular systolic function is mildly depressed (lvef=40%). septal motion is paradoxical, c/w post cabg. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. a bioprosthetic aortic valve prosthesis is present. the aortic valve prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. a mitral valve annuloplasty ring is present. trivial mitral regurgitation is seen. there is no pericardial effusion. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: mr was admitted on after he underwent a mitral valve repair, cabg x 3, and aortic valve replacement. for details of the operation please see the operative report. extubated on pod #1. postoperatively he was on milrinone, levophed and epinephrine to maintain his cardiac output and blood pressure. he received multiple blood transfusions as well.amiodarone started for a fib. pressors/support weaned and then restarted for decreasing c.i. chest tubes removed. c diff. positive with continuing diarhhea on pod #6 and flagyl started. beta blockade titrated. echo showed global hypokinesis. sub q heparin started for prophylaxis and mutiple bp agents added for hypertension. gentle diuresis restarted on pod #7, pacing wires removed, and transferred to the floor to begin increasing his activity level. on pod #11, his wbc rose to 18 and he was pancultured. he c/o llq pain on pod #12. cipro started for uti. left pleural effusion tapped on pod #12. at 6:30 am on pod #13, he acutely decompensated with acute respiratory failure on the floor. he had agonal breathing, was bradycardic and had palpable pulses and was intubated by anesthesia emergently during the code. transferred back to cvicu for stat tte and left chest tube placed. tamponade ruled out by echo. sternum found to be unstable on exam (no cpr had been performed).bronchoscopy done to rule out aspiration. lactate rose to 11 and general surgery was urgently consulted.creatinine rose to 2.2 and inr was 2.9. new subclavian accesss established.he was taken directly to the or and dr. debrided his sternum and re-wired it. the general surgery team then did an exploratory laparotomy to evaluate for acute mesenteric ischemia. he had a right hemicolectomy, cholecystectomy, aortagram with right common iliac artery to sma bypass graft ( vascular team), and then a small bowel resection by dr. . he was profoundly acidotic. he was aggressively resuscitated the rest of the night with multiple pressor support to maintain a bp. the family was consulted about his extremely grave prognosis and they agreed to continue the drips but no cpr or additional drug resuscitation. made cmo by family with increasing pressor requirements and acidosis. expired at 8:00 am on . family declined autopsy. medical examiner elected to review the case. medications on admission: coreg 6.25 mg daily zetia 10 mg daily asa 325 mg daily plavix 75 mg daily lovastatin 80 mg daily lasix 40 mg daily cozaar 50 mg discharge disposition: extended care facility: tba discharge diagnosis: cad with bms to rca x2, and instent restenosis htn hyperlipidemia anemia arthritis discharge condition: expired discharge instructions: patient expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries other partial resection of small intestine insertion of endotracheal tube fiber-optic bronchoscopy thoracentesis other intubation of respiratory tract cholecystectomy other repair of chest wall open and other replacement of aortic valve with tissue graft local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] aortography annuloplasty open and other right hemicolectomy transfusion of packed cells transfusion of other serum transfusion of platelets other intra-abdominal vascular shunt or bypass continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia hemorrhage complicating a procedure intestinal infection due to clostridium difficile chronic systolic heart failure encounter for palliative care acute vascular insufficiency of intestine disruption of external operation (surgical) wound laparoscopic surgical procedure converted to open procedure 

Answer: The patient is high likely exposed to