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: chest pain major surgical or invasive procedure: 1.bentall procedure with a 29-mm freestyle aortic valve bioprosthesis with coronary button reimplantation. valve data is the following: serial #. 2. replacement of ascending aorta and hemi-arch using a 30- mm vascutek dacron tube graft with deep hypothermic circulatory arrest. history of present illness: 72 year old male presented to osh with chest pain that started as severe pain that lasted 30 minutes and then decreased to mild and called his pcp who referred him to the ed. in triage he had sudden chest pain, became diaphoretic and pale with hypotension of systolic pressure documented at 60. he received iv fluids and transferred to cardiac cath lab for emergent catheterization that revealed dilated aorta. he was then transferred to for evaluation which he was brought into the ed, cta and labs obtained and emegerently to the operating room for ascending aorta replacement. past medical history: hypertension prostate ca past surgical history seed implants for prostate ca social history: race: hispanic lives with: spouse family history: nc physical exam: admission physical exam pulse: 64 resp: 22 o2 sat: 100% on nrb b/p sbp 100's bilateral general: on 100% nrb calm skin: dry intact heent: pupils equal in size chest: lungs clear bilaterally anterior on 100% nrb heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + no palpable masses extremities: warm , edema none neuro: awakes to voice oriented x3 pulses: femoral right: sheath left: +1 dp right: +1 left: +1 pt : +1 left: +1 radial right: +1 left: +1 carotid bruit right:none left: none pertinent results: 04:50am blood wbc-9.0 rbc-3.83* hgb-11.5* hct-33.4* mcv-87 mch-30.1 mchc-34.6 rdw-14.5 plt ct-346 03:07am blood wbc-8.8 rbc-2.76* hgb-8.6* hct-24.2* mcv-88 mch-31.2 mchc-35.6* rdw-15.1 plt ct-145* 02:30pm blood wbc-19.1*# rbc-4.36* hgb-13.3* hct-37.8* mcv-87 mch-30.4 mchc-35.1* rdw-14.9 plt ct-254 09:41am blood pt-13.8* ptt-30.4 inr(pt)-1.2* 02:30pm blood pt-12.9 ptt-22.9 inr(pt)-1.1 04:50am blood glucose-96 urean-41* creat-1.3* na-143 k-3.6 cl-107 hco3-25 angap-15 02:30pm blood glucose-137* urean-20 creat-1.3* na-136 k-4.0 cl-105 hco3-19* angap-16 03:16pm blood alt-16 ast-50* ld(ldh)-289* alkphos-53 amylase-73 totbili-0.6 echocardiography report , (complete) done at 8:17:39 pm final referring physician information , c. , status: inpatient dob: age (years): 72 m hgt (in): 67 bp (mm hg): 80/60 wgt (lb): 178 hr (bpm): 72 bsa (m2): 1.93 m2 indication: emergency aortic dissection icd-9 codes: 441.2, 423.9, 424.1 test information date/time: at 20:17 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2010aw04-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% >= 55% aorta - sinus level: *4.5 cm <= 3.6 cm aorta - ascending: *4.5 cm <= 3.4 cm findings the ng tube could not be passed into the stomach. the tee probe was felt to be tight beyond 30cm at incisors. no further attempts to pass it lower esophagus or transgastric. therefore limtied imaging was performed. left atrium: no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. right ventricle: normal rv chamber size and free wall motion. aorta: moderately dilated aortic sinus. dilated sinuses of valsalva. focal calcifications in aortic root. moderately dilated ascending aorta. normal aortic arch diameter. normal descending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. moderate (2+) ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: moderate pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data conclusions pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the sinuses of valsalva are dilated. the ascending aorta is moderately dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. moderate (2+) aortic regurgitation is seen. the aortic regurgitant jet was centra. an elaborate attempt was made to elucidate the dissection flap. however, this was not well visualilzed. this finding was conveyed to surgeons. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is a moderate sized pericardial effusion. there was moderate pericardial effusion causing hemodynamic disturbances in the form of mild hypotension. no further attempts made to characterize tamponade effects. dr. was notified in person of the results on before surgical incision.. post-bypass: patient on small dose of phenylephrine. intact thoracic aorta and the graft. normal biventricular systolic function. lvef 55%. trivial mr. the new stentless bioprosthesis is well visualized, well seated with a small central regurgitant jet. no gradients done due to inability to pass the probe into the stomach. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 20:26 ?????? caregroup is. all rights reserved. brief hospital course: on /2010mr. was taken to the operating room and underwent an emergent bentall procedure (#29 mm freestyle porcine aortic valve/root and replacement of aortic hemi-arch with #30mm gelweave sidearm graft with dr.. circulatory arrest time=22 minutes, cross clamp time=150 minutes, and cardiopulmonary bypass time=187 minutes.please refer to the operative report for further details. he tolerated the procedure well and was transferred to the cvicu intubated and sedated. he awoke neurologically intact but required precedex for extubation. pod#1 he was extubated without difficulty. postoperative confusion and agitation was treated with haldol and zyprexa, all narcotics were discontinued. he remained in the cvicu until his mental status improved. all lines and drains were discontinued in a timely fashion. beta-blocker/statin/aspirin/ and diuresis were initiated. pod#6 mr. went into postoperative rapid atrial fibrillation that was treated with amiodarone and increased beta-blocker and ultimately converted to normal sinus rhythm. psychiatry and social work was consulted to evaluate postoperative confusion with hallucinations. recommendations appreciated. pod#7 he was transferred to the sterp down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. the remainder of his postoperative course was essentially uneventful. his mental status returned to baseline. pod# 9 dr. cleared him for discharge to home with visiting nurse services. all follow up appointments were advised. medications on admission: atenolol 25 mg daily hydrochlorothiazide 25 mg daily protonix 40 mg daily aspirin 325 mg daily discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 2. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 4. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours) as needed for pain. 5. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): x 7 days, then decrease to 200 mg po once daily . disp:*60 tablet(s)* refills:*2* 6. hydralazine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. lisinopril 20 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. 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:*2* discharge disposition: home with service facility: vna discharge diagnosis: acute type a aortic dissection/ ascending aortic aneurysm/ mild to moderate aortic insufficiency/ aortic root aneurysm/ aortic arch aneurysm. -s/p bentall procedure with a 29-mm freestyle aortic valve bioprosthesis with coronary button reimplantation. valve data is the following: serial#. replacement of ascending aorta and hemi-arch using a 30- mm vascutek dacron tube graft with deep hypothermic circulatory arrest on . -hypertension prostate ca past surgical history seed implants for prostate ca discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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. # , appointment arranged for at 2 pm cardiologist:dr. , appointment was arranged for , at 11:30 am. # please call to schedule appointments with your primary care dr. in 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 and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels heart revascularization by arterial implant diagnoses: anemia, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of prostate aortic valve disorders pulmonary collapse unspecified disease of pericardium surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus encephalopathy, unspecified dissection of aorta, thoracic delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to