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: lightheadedness, unsteady gait, slurred speech major surgical or invasive procedure: bilat thoracotomy/mini maze history of present illness: 77yom with paroxysmal atrial fibrillation, not on coumadin because of hematuria, s/p cerebellar embolic stroke now presents as a same day post-operative admission scheduled for bilateral thoracotomy/mini-maze. past medical history: atrial fibrillation prostate ca s/p xrt and now with suprapubic tube hernia repair cva with large cerebellar infarct social history: retired lives with wife who has dz denies tobacco etoh- 1 beer per day family history: mother with bacterial endocarditis and hx of arrhythmias physical exam: preop: vs: hr107 bp146/90 rr14 ht5'" wt170lbs gen: nad neuro: grossly intact chest: cta bilat cv: irreg-irreg abdm: soft nt?nabs ext: warm, no edema discharge: vs: t 98 hr 66 bp 131/53 rr 20 o2sat 95%ra gen: nad neuro: a&ox3, mae, follows commands, non focal exam pulm: cta-bilat, anterior exam cv: irreg-irreg no murmur. bilat thoracotomies with steri strips-cdi abdm: soft, nt/nabs ext: warm, well perfused. trace pedal edema bilat pertinent results: 02:03pm glucose-130* na+-140 k+-4.1 01:33pm urea n-12 creat-0.8 chloride-107 total co2-24 01:33pm wbc-13.7* rbc-4.14* hgb-12.5* hct-35.7* mcv-86 mch-30.1 mchc-34.9 rdw-15.6* 01:33pm plt count-245 01:33pm pt-12.1 ptt-25.8 inr(pt)-1.0 07:00am blood wbc-6.9 rbc-4.07* hgb-12.2* hct-35.8* mcv-88 mch-30.0 mchc-34.1 rdw-15.2 plt ct-292 07:00am blood plt ct-292 07:00am blood pt-12.6 inr(pt)-1.1 07:00am blood glucose-81 urean-19 creat-0.8 na-140 k-4.1 cl-103 hco3-31 angap-10 chest (pa & lat) reason: f/u, assess apical ptx medical condition: 77 year old man s/p bilat thoracotomy/ct removal reason for this examination: f/u, assess apical ptx two-view chest, comparison: . indication: pneumothorax. previous left apical pneumothorax has resolved. cardiac silhouette is enlarged but stable in size. there is improving bibasilar atelectasis with residual predominantly discoid atelectasis remaining. small pleural effusions are present, left greater than right. impression: resolution of left apical pneumothorax and improvement in basilar atelectasis. dr. patient/test information: indication: atrial fibrillation/flutter. intra-op tee for thoracoscopic maze procedure. height: (in) 69 weight (lb): 177 bsa (m2): 1.96 m2 bp (mm hg): 134/78 hr (bpm): 56 status: inpatient date/time: at 09:45 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw02-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: *5.8 cm (nl <= 4.0 cm) left atrium - four chamber length: *5.6 cm (nl <= 5.2 cm) right atrium - four chamber length: *6.6 cm (nl <= 5.0 cm) left ventricle - ejection fraction: 40% to 45% (nl >=55%) aorta - valve level: 3.6 cm (nl <= 3.6 cm) aorta - ascending: *3.9 cm (nl <= 3.4 cm) aorta - arch: *3.4 cm (nl <= 3.0 cm) aorta - descending thoracic: *2.7 cm (nl <= 2.5 cm) aortic valve - peak velocity: 1.0 m/sec (nl <= 2.0 m/sec) aortic valve - peak gradient: 4 mm hg aortic valve - lvot diam: 2.0 cm mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 0.3 m/sec mitral valve - e/a ratio: 2.00 interpretation: findings: left atrium: moderate la enlargement. mild spontaneous echo contrast in the laa. depressed laa emptying velocity (<0.2m/s) no thrombus in the laa. right atrium/interatrial septum: moderately dilated ra. no asd by 2d or color doppler. dilated coronary sinus (diameter >15mm). left ventricle: mild-moderate regional lv systolic dysfunction. mildly depressed lvef. no resting lvot gradient. lv wall motion: regional lv wall motion abnormalities include: basal anterior - hypo; mid anterior - hypo; basal anteroseptal - hypo; mid anteroseptal - hypo; anterior apex - hypo; right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: mildly dilated ascending aorta. mildly dilated aortic arch. mildly dilated descending aorta. aortic valve: three aortic valve leaflets. no as. mild to moderate (+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. no ms. moderate (2+) mr. tricuspid valve: moderate tr. pulmonic valve/pulmonary artery: significant pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results conclusions: 1.the left atrium is moderately dilated. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no thrombus is seen in the left atrial appendage. 2.the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. 3.the coronary sinus is dilated (diameter >15mm). 4.there is mild to moderate regional left ventricular systolic dysfunction with hypokinesia of the anterior and anteroseptal walls.. overall left ventricular systolic function is mildly depressed. 5.the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. 6.the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the descending thoracic aorta is mildly dilated. 7.there are three aortic valve leaflets. there is no aortic valve stenosis. mild to moderate (+) aortic regurgitation is seen. 8.the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. 9. moderate tricuspid regurgitation is seen. 10. significant pulmonic regurgitation is seen. 11. post procedure the left atrial appendage appears to have been ligated. electronically signed by , md on 16:13 brief hospital course: mr was a direct admission to operating room for bilateral thoracotomies with mini maze on , please see or report for full details. he tolerated the operation well and was transferred from the or to the cardiac icu in stable condition. he did well in the immediate post-op period, his anesthesia was reversed and he was successfully extubated, he did require a neosynephrine drip to maintain adequate blood pressure in this early period. on pod1 the patients chest tubes were removed, he was scheduled to be transferred to the step down floor but had some atrial fibrillation with associated hypotension. he was started on bblockers and experienced more hypotension that kept him in the icu on pod2. finally on pod3 he was able to transfer to the floors. his activity level was advanced with the nursing staff and on pod4 he was discharged to home with visiting nurse visits by vna. medications on admission: coumadin 2' metoprolol 25' bactrim ss 0.5tab' asa 325' coenzyme q10 200" vit c 500" vit e 400" mvi caltate discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*0* 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 1 weeks. disp:*7 tablet(s)* refills:*0* 3. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po daily (daily) for 1 weeks. disp:*14 capsule, sustained release(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. aspirin 325 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* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 7. warfarin 2 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: greater vna discharge diagnosis: s/p bilat thoracotomy/mini maze() pmh:afib, prostate ca, suprapubic cath(w/occaisional hematuria) discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds followup instructions: clinic in 2 weeks dr in 4 weeks(office will call w/appt) dr in weeks(pt to call for appt) dr in months procedure: excision or destruction of other lesion or tissue of heart, open approach diagnoses: atrial fibrillation personal history of malignant neoplasm of prostate mitral valve insufficiency and aortic valve stenosis diseases of tricuspid valve 

Answer: The patient is high likely exposed to