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: asymptomatic major surgical or invasive procedure: minimally invasive mitral valve repair history of present illness: 49 yo m with history of mvp/mr/flail leaflet, now with increasing la and lv size by echo. past medical history: mvp severe mr, flail leaflet, htn, vertebral fx, back , ear , herniorrhaphy as child social history: lives with wife and 5 children family history: nc physical exam: well appearing male in nad admission exam unremarkable with the exception of holosystolic murmur. pertinent results: 06:37am blood wbc-13.4* rbc-4.09* hgb-11.4* hct-33.3* mcv-81* mch-27.8 mchc-34.1 rdw-13.9 plt ct-150 06:37am blood plt ct-150 02:28am blood pt-14.1* ptt-27.7 inr(pt)-1.3* 06:37am blood glucose-115* urean-19 creat-0.8 na-142 k-4.7 cl-103 hco3-31 angap-13 chest (pa & lat) 4:04 pm impression: slight decrease in right apical pneumothorax with small residual pneumothorax remaining. improving bibasilar atelectasis. chest (portable ap) 7:30 am impression: tube removal. probable tiny residual right ptx. brief hospital course: he was taken to the operating room on where he underwent a minimally invasive mvrepair. he was transferred to the csru in critical but stable condition. he was extubated later that same day. he was weaned from his vasoactive drips, his chest tube was pulled, and he was transferred to the floor on pod #1. he had a small right apical pneumothorax after his chest tube was pulled. it decreased in size on the following day and he was ready for discharge home on pod #3. medications on admission: lisinopril discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(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. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) for 2 weeks: then prn. disp:*70 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q2-4h as needed. disp:*50 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 5 days. disp:*20 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: mvp/severe mr/flail leaflet htn verterbral fracture back surgery ear surgery herniorrhaphy in childhood 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 driving for 2 weeks or while taking narcotics. followup instructions: dr. 4 weeks dr. 2 weeks dr. 2 weeks procedure: open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders unspecified essential hypertension 

Answer: The patient is high likely exposed to