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: doe major surgical or invasive procedure: s/p avr(21mm aortic ce magna pericardial)/mvr(25mm metronic mosaic porcine)/cabgx2(lima->lad, svg->pda)/septal myomectomy history of present illness: 69 yo m with exertional sob, echo at osh showed severe as and cath showed 2vd. past medical history: htn, dm2, ^chol, hypothyroid, arthritis, hyst social history: stay at home mom 40 pack year tob no etoh family history: brothers with in their 50s physical exam: elderly female in nad full dentures lungs ctab rrr 4/6 sem ->carotids abd with well healed incisions, soft, nt/nd extrem warm, no edema brief hospital course: she was taken to the operating room on where she underwent an avr (21 mm ce magna pericardial)/cabg x 2 (lima->lad, svg->pda), mvr (25 mm mosaic porcine mitral) and spetal myomectomy. she was transferred to the csru in critical but stable condition paced with complete heart block. she was extubated and weaned form her vasoactive drips later that same day. she remained in complete heart block and was seen by electrophysiology. on she was reintubated and had a sigma dual chamber pacemaker placed. she was extubated on . a hit panel, which was sent for a platelet count of 63, was negative. she went into aflutter and was started on amiodarone and heparin and coumadin. she was transferred to the floor on pod #5. she converted to sinus rhythm. her amiodarone was decreased due to prolonged qtc. her activity was advanced with nursung and pt. she was ready for discharge home on pod 10. medications on admission: synthroid, kcl, lisinopril, lovastatin, metformin, atenolol. glyburide 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. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 3. 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* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 5. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. lovastatin 40 mg tablet sig: one (1) tablet po once a day. 8. metformin 500 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 9. metformin 500 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 10. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): 400mg qd x 1 week then 200mg qd. disp:*36 tablet(s)* refills:*2* 11. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 12. warfarin 2 mg tablet sig: as directed tablet po once a day: pt to take 2mg on then as directed by dr . disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna of greater / discharge diagnosis: aortic stenosis htn niddm ^chol hypothyroidism s/p avr/mvr/cabg/septal myomectomy s/p ppm discharge condition: good. discharge instructions: follow medications on discahrge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with towel. call our office for temp>101.5, sternal drainage. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 2-3 weeks. make an appointment with dr. for 4 weeks. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle excision or destruction of other lesion or tissue of heart, open approach (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft open and other replacement of mitral valve with tissue graft transfusion of packed cells transfusion of platelets artificial pacemaker rate check diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation atrial flutter atrioventricular block, complete mitral valve insufficiency and aortic valve stenosis osteoarthrosis, unspecified whether generalized or localized, site unspecified 

Answer: The patient is high likely exposed to