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: sulfonamides attending: chief complaint: shortness of breath major surgical or invasive procedure: mitral valve repair (28mm annuloplasty band) past medical history: mitral regurgitation, coronary artery disease/myocardial infarction tatus post coronary stent, congestive heart failure, hypertension, hypercholesterolemia, h/o skin cancer status post removal, hemorrhoids, remote fracture of fingers and toes, skin cancer status post removal, status post hernia repair x 2, status post repair of facial laceration, status post cyst removal from his scrotum, status post vasectomy, status post left arm surgery social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse or ivdu. patient smokes marijuana daily. works as a motorcycle repairmen and carpenter. active in his job, but does not exercise regularly. family history: non-contributory. there is no family history of premature coronary artery disease or sudden death. physical exam: on physical examination, his heart rate is 64. blood pressure is 118/68. his height is 65" and he weighs approximately 175 lbs. in general, he appeared to be in no acute distress. his skin is mostly unremarkable with multiple healed scars throughout his body. heent examination revealed extraocular movements are intact. pupils are equal, round, and reactive to light. oropharynx is benign. his neck is supple, full range of motion without any jvd. his lungs are clear to auscultation bilaterally. cardiac examination revealed regular rate and rhythm with a soft murmur of mitral regurgitation. his abdomen is soft, nontender, and nondistended with positive bowel sounds. extremities are warm and well perfused with no edema. neurologically, he is grossly intact, alert, and oriented x3, moving all extremities. pertinent results: echo: 1. no atrial septal defect is seen by 2d or color doppler. 2. overall left ventricular systolic function is moderately depressed (lvef= 35-40 %)with hypokinesia of the mid and apical portions of the inferior, inferolateral and inferoseptal walls. there is moderate global rv free wall hypokinesis. 3. the ascending, transverse and descending thoracic aorta are normal in diameter. there are simple atheroma in the aortic arch and descending thoracic aorta. 4. there are three aortic valve leaflets. trace aortic regurgitation is seen. there is no aortic stenosis. 5. the mitral valve leaflets are mildly thickened. there is moderate/severe mitral valve prolapse of the a2 and a3 scallops. the p2 portion is mildly restricted in movement. severe (4+) mitral regurgitation is seen. the mitral valve annulus measures 3.7 cms with the anterior leaftlet measuring 3.47 cm and the posterior leaflet measuring 1.35 cm. the csept distance is 3.57 cm. 6. there is no pericardial effusion. 7. dr. was notified in person of the results during the procedure on at 820 am. postbypass: 1. the patient is on phenylephrine, epinephrine, milrinone infusions and av paced. 2. rv function is improved compared to the prebypass study. 3. lv function is worse than prebypass, now with ef of 30%. inferior, inferoseptal, and inferolateral walls are akinetic. 4. an annuloplasty ring is noted in the mitral postion. it appears well seated. there is trivial mitral regurgitation. peak gradient is 6 mm hg and the mean gradient is 3 mmhg across the mitral valve. 5. aortic contour is smooth after decannulation. brief hospital course: mr. was a same day admit and on he was brought to the operating room where he underwent a mitral valve repair. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. pacing wires and chest tubes were removed per cardiac surgery protocol. cxr without pneumothorax. patient transferred from the icu to the floor. patient experienced post op afib and was started on amiodarone and betablockade was increased and converted back to sinus rhythm. patient was evaluated by physical therapy and cleared for d/c to home. medications on admission: asa 325', plavix 75', lisinopril 15', lasix 20', simvastatin 80', metoprolol 25', sertraline 75', discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) as needed for recent stent . disp:*30 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:*2* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily): dose decreased while on amiodarone. disp:*30 tablet(s)* refills:*2* 5. sertraline 50 mg tablet sig: 1.5 tablets po daily (daily). 6. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*2* 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 12. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 13. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take 2 tabs daily for 6 days then one tab daily there after. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: mitral regurgitation status post mitral valve repair secondary: coronary artery disease/myocardial infarction tatus post coronary stent, congestive heart failure, hypertension, hypercholesterolemia, h/o skin cancer status post removal, hemorrhoids, remote fracture of fingers and toes, skin cancer status post removal, status post hernia repair x 2, status post repair of facial laceration, status post cyst removal from his scrotum, status post vasectomy, status post left arm surgery discharge condition: good discharge instructions: adhere to 2 gm sodium diet shower daily, no baths or swimming no lotions, creams or powders to incisions no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks () dr. in 2 weeks() dr. in weeks () 6 wound clinic in 2 weeks please call for procedure: extracorporeal circulation auxiliary to open heart surgery intraoperative cardiac pacemaker diagnostic ultrasound of heart open heart valvuloplasty of mitral valve without replacement diagnoses: thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease personal history of other malignant neoplasm of skin old myocardial infarction other postprocedural status surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation acute on chronic systolic heart failure 

Answer: The patient is high likely exposed to