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: pain left chest, sob major surgical or invasive procedure: mvrepair (#36 annuloplasty band) history of present illness: 25 yo m with history of , myxomatous mitral valve and moderate to severe mvp. past medical history: social history: unemployed - current tobacco, quit 5 cigs/day approx 1 year ago. - etoh x 1 year family history: nc physical exam: thin man in nad 78 20 130/86 skin unremarkable heent unremarkable neck supple full rom chest ctab heart rrr abd benign extrem warm, no edema, no varitcosities pertinent results: 05:50am blood wbc-9.2 rbc-2.90* hgb-8.6* hct-24.2* mcv-84 mch-29.7 mchc-35.5* rdw-15.8* plt ct-477* 05:50am blood plt ct-477* 05:50am blood wbc-9.2 rbc-2.90* hgb-8.6* hct-24.2* mcv-84 mch-29.7 mchc-35.5* rdw-15.8* plt ct-477* 05:50am blood plt ct-477* 05:50am blood glucose-96 urean-8 creat-0.8 na-136 k-4.4 cl-102 hco3-24 angap-14 echo pre-bypass: 1. left ventricular wall thicknesses and cavity size are normal. regional left ventricular wall motion is normal. 2. the mitral valve leaflets are myxomatous. there is moderate mitral valve prolapse. mild (1+), late systolic mitral regurgitation is seen. 3. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the aortic root is moderately dilated measuring 4.2 cm. the dilatation normalizes at the sinotubular junction with normal diameter of the ascending aorta. 4. small secundom asd seen on color doppler. 5. right ventricular chamber size and free wall motion are normal. post-bypass: 1. preserved -ventricular systolic function. 2. repaired mitral valve is seen. no mitral regurgitation. mild of the tip of the anterior leaflet, without gradient across the lvot . 3. no evidence of aortic dissection post de-cannulation. 4. no evidence of asd on color doppler. 5.. rest of study is unchanged from pre-bypass cxr comparison is made to prior day. the patient is status post sternotomy. a prosthetic mitral valve is again visualized. there is persistent volume loss with atelectasis and effusion at the left lung base, which is unchanged. a right-sided pleural effusion is somewhat smaller. the lung fields are otherwise clear. there is no pneumothorax. ospital course: he was taken to the operating room on where he underwent a mitral valve repair (#36 annuloplasty band) and and asd closure. he awoke and was extubated that day. he was weaned from his neosynephrine and transferred to the floor on pod #2. he remained tachycardiac with a bp in the 90s. on pod #5 he had a temperature of 102.5 for which he was panculatured. he had a enterobactor uti for which he was placed on bactrim. he was seen in consultation by medicine for his weight loss, nausea and vomiting. they recommended adding boost, changing diet to soft solids, reglan, discontinuing nsaids and changing h2 blocker to ppi. he continued to improve and was ready for discharge on pod #8. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: atenolol 25mg qd lisinopril 5mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 4. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po q 8h (every 8 hours). disp:*2 tablet(s)* refills:*2* 8. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 9. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: myxomatous mv, mod-severe mvp, 2+mr ectasia gerd l para-renal cyst discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no heavy lifting or driving until follow up with surgeon. p instructions: , m.d. 2 weeks dr. as planned prior to surgery dr. 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other and unspecified repair of atrial septal defect open heart valvuloplasty of mitral valve without replacement diagnoses: esophageal reflux mitral valve disorders urinary tract infection, site not specified ostium secundum type atrial septal defect marfan syndrome elevated blood pressure reading without diagnosis of hypertension other anomalies of aorta 

Answer: The patient is high likely exposed to