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: no allergies/adrs on file attending: chief complaint: aortic dissection major surgical or invasive procedure: 1. replacement of ascending aorta with a 30 mm gel weave graft under hypothermic circulatory arrest. 2. resuspension of aortic valve history of present illness: 54m transferred emergently from medical center with type a dissection. per report, he is a realtor who was initated and he was brought to emergency department where he was initially responsive to pain, although this history is unclear. underwent an emergent cta which demonstrated a type a dissection but was a suboptimally timed study with little additional vascular detail. he had tamponade physiology and a pericardial drain was placed. he was intubated and arrived at the emergency department intubated. past medical history: hypertension hsv social history: unable to obtain family history: unable to obtain physical exam: gen: intubated heent: cyanotic from shoulders to head cor: tachycardic res: limited exam pulses: palpable dp and pt bilaterally pertinent results: 06:55am blood wbc-11.0 rbc-2.87* hgb-9.1* hct-27.2* mcv-95 mch-31.8 mchc-33.5 rdw-14.1 plt ct-186# 02:30am blood pt-16.6* ptt-33.7 inr(pt)-1.6* 06:55am blood glucose-104* urean-23* creat-1.2 na-139 k-3.7 cl-103 hco3-28 angap-12 brief hospital course: mr. was emergently taken to the operating room where he underwent replacement of ascending aorta and resuspension of aortic valve. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. he extubated on post-operative da one but was agitated and confused. he was given seroquel and haldol and slowly became oriented over the next couple of days. his chest tubes and wires were removed. post-operatively he experienced atrial fibrillation and converted to sinus rhythm after amiodarone and lopressor. he had a congested cough which improved with aggressive pulmonary hygiene. his chest tubes and wires were removed and he transferred to the step down floor. he was seen in consultation by the physical therapy service. by post-operative day five he was ready for discharge to home. follow-up appointments were advised. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. atenolol dose is unknown po daily discharge medications: 1. amiodarone 400 mg po bid rx *amiodarone 200 mg 2 tablet(s) by mouth daily disp #*40 tablet refills:*2 2. amlodipine 10 mg po daily rx *amlodipine 10 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*2 3. aspirin ec 81 mg po daily rx *aspirin 81 mg one tablet(s) by mouth daily disp #*30 tablet refills:*30 4. tramadol (ultram) 50 mg po q4h:prn pain rx *tramadol 50 mg one tablet(s) by mouth every four hours disp #*40 tablet refills:*0 5. potassium chloride 20 meq po q12h hold for k+ > 4.5 rx *potassium chloride 20 meq 20 meq by mouth twice a day disp #*14 packet refills:*2 6. metoprolol tartrate 100 mg po tid hold for hr < 55 or sbp < 90 and call medical provider. *lopressor 100 mg one tablet(s) by mouth three times per day disp #*90 tablet refills:*2 7. hydralazine 25 mg po q6h rx *hydralazine 25 mg one tablet(s) by mouth every six hours disp #*120 tablet refills:*2 8. furosemide 40 mg po daily duration: 14 days discharge disposition: home with service facility: discharge diagnosis: type a aortic dissection s/p replacement of ascending aorta and resuspension of aortic valve discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. 1+ le 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. at 1pm cardiologist: please obtain a cardiologist as soon as possible wound check at the cardiac surgery office at 10:15am please call to schedule appointments with your primary care physician weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery resection of vessel with replacement, thoracic vessels open reduction of fracture with internal fixation, other specified bone open heart valvuloplasty of aortic valve without replacement diagnoses: thrombocytopenia, unspecified anemia, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation unspecified disease of pericardium closed fracture of sternum 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 dissection of aorta, thoracic delirium due to conditions classified elsewhere other accidents cough 

Answer: The patient is high likely exposed to