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: codeine / metformin attending: chief complaint: lightheadedness major surgical or invasive procedure: mitral valve replacement history of present illness: 74 year gentleman with a known murmur and history of mitral valve regurgitation followed by serial echocardiograms the last several years. he had no significant symptoms but over the past year he has noted few episodes of lightheadedness and dyspnea on exertion. his mra a year ago showed severe mitral regurgitation with bileaflet proplapse. given the progression of his symptoms, he has agreed to proceed with surgery. he presented today for a pre-op tee and cardiac catheterizaion. past medical history: mitral valve regurgitation tricuspid regurgitation anemia hyperlipidemia hypertension hearing loss ?benign prostatic hypertrophy chronic kidney disease peripheral neuropathy typhoid fever as a child rectal gonorrhea diverticulosis hemorrhoids corneal transplant with rejection tonsillectomy social history: race: caucasian last dental exam: , will see dentist on for clearance and cleaning lives with: partner, lives in fla for 6 months of the year. contact: (partner) phone # occupation: retired, worked at in television production cigarettes: smoked no yes other tobacco use: denies etoh: < 1 drink/week family history: premature coronary artery disease. mother cabg in her late 70's/early 80's, uncle died of mi in his early 60s. physical exam: pulse:60 resp:16 o2 sat: 99%/ra b/p right: 129/70 left:149/64 height:5'8" weight:155lbs general: well-developed male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular w/ pvcs murmur grade systolic abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema/varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: echo: prebypass: no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. trace aortic regurgitation is seen. the mitral valve leaflets are myxomatous. there is moderate/severe a2, p2 and p3 leaflet mitral valve prolapse. severe (4+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1000 am. post bypass: patient is in sinus rhythm and receiving an infusion of phenylephrine. annuloplasty ring seen in the mitral position. it appears well seated. there is mild mitral regurgitation. no mitral stenosis and no systolic anterior motion of the mitral valve. aorta is intact post decannulation. rest of the examination is unchanged post bypass. 07:00am blood wbc-9.0 rbc-3.28* hgb-10.1* hct-30.8* mcv-94 mch-30.7 mchc-32.7 rdw-13.8 plt ct-91* 05:10am blood wbc-12.7* rbc-3.38* hgb-10.5* hct-31.9* mcv-94 mch-31.1 mchc-32.9 rdw-14.0 plt ct-86* 05:27am blood wbc-10.7 rbc-3.27* hgb-10.2* hct-30.4* mcv-93 mch-31.1 mchc-33.4 rdw-14.1 plt ct-80* 07:00am blood pt-26.9* inr(pt)-2.6* 05:10am blood pt-15.9* inr(pt)-1.5* 04:56am blood pt-15.5* ptt-20.2* inr(pt)-1.5* 01:46pm blood pt-14.3* ptt-29.4 inr(pt)-1.3* 07:00am blood urean-39* creat-1.5* na-143 k-4.1 cl-105 05:10am blood glucose-132* urean-38* creat-1.4* na-140 k-4.9 cl-106 hco3-30 angap-9 05:27am blood glucose-129* urean-38* creat-1.4* na-138 k-4.4 cl-106 hco3-25 angap-11 10:50am blood glucose-159* urean-33* creat-1.5* na-138 k-4.3 cl-103 hco3-24 angap-15 brief hospital course: mr. was a same day admit and was brought directly 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. later this day he was weaned from sedation, awoke neurologically intact and extubated. beta blocker therapy was initiated and the patient was gently diuresed toward their preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. mr. d intermittant and sustained episodes of rapid atrial fibrillation and was loaded with oral amiodarone and his dose of lopressor was incraesed. coumadin therapy was also started. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: aspirin 81mg daily glucosamine 500mg daily vitamin d 1000u daily multivitamin atenolol 50mg daily zocor 20mg daily lisinopril 30mg daily discharge medications: 1. aspirin ec 81 mg po daily 2. simvastatin 20 mg po daily 3. amiodarone 400 mg po tid rx *amiodarone 400 mg 1 tablet(s) by mouth three times a day disp #*100 tablet refills:*0 4. furosemide 20 mg po daily duration: 7 days rx *furosemide 20 mg 1 tablet(s) by mouth once a day disp #*7 tablet refills:*0 5. multivitamins 1 tab po daily 6. vitamin d 1000 unit po daily 7. glucosamine *nf* (glucosamine sulfate) 500 mg oral daily 8. docusate sodium 100 mg po bid 9. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain rx *dilaudid 2 mg tablet(s) by mouth four times a day disp #*30 tablet refills:*0 10. metoprolol tartrate 50 mg po tid hold for hr < 55 or sbp < 90 and call medical provider. *metoprolol tartrate 50 mg 1 tablet(s) by mouth three times a day disp #*90 tablet refills:*1 11. bisacodyl 10 mg po/pr daily:prn constipation 12. pantoprazole 40 mg po q24h rx *pantoprazole 40 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*0 13. potassium chloride 20 meq po q12h hold for k+ > 4.5 rx *klor-con m20 20 meq 1 tablet by mouth once a day disp #*7 tablet refills:*0 14. warfarin 1 mg po daily16 duration: 1 doses take as directed for inr goal of 2.0-3.0 rx *coumadin 1 mg tablet(s) by mouth once a day disp #*60 tablet refills:*0 discharge disposition: home with service facility: vna discharge diagnosis: mitral valve regurgitation s/p mitral valve repair past medical history: tricuspid regurgitation anemia hyperlipidemia hypertension hearing loss ?benign prostatic hypertrophy chronic kidney disease peripheral neuropathy typhoid fever as a child rectal gonorrhea diverticulosis hemorrhoids corneal transplant with rejection tonsillectomy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage edema; trace lower extremity edema 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. on date/time: 1:00 in the medical office building, , wound care nurse phone: date/time: 10:45 in the medical office building, , please call to schedule appointments with your primary care dr. in weeks cardiologist: dr. in 3 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 open heart valvuloplasty of mitral valve without replacement diagnoses: thrombocytopenia, unspecified mitral valve disorders acute posthemorrhagic anemia acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation atrial flutter chronic kidney disease, unspecified other and unspecified hyperlipidemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified hereditary and idiopathic peripheral neuropathy diseases of tricuspid valve 

Answer: The patient is high likely exposed to