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: cabg x3 (lima>lad, svg>om, svg>pda) avr (23 onx) history of present illness: 50 yo m who presented to hospital with chest pain, ruled in for nstemi, was transferred to for cath which showed 3vd. echo showed severe as. referred for cabg/avr. past medical history: - cad: s/p cath in with occluded rca, 50% prox lad - moderate as with peak gradient 20-25mmhg per cath - htn - dm2 - last a1c 7.1% - hyperlipidemia: chol 157, hdl 53, ldl 82, in - has had it checked since then, results unknown - chronic back pain - neuropathic leg pain social history: he lives with his wife who is a nurse, and his 16yo son. : never smoked etoh: 1-2 beers/weekend illicits: denies, including no cocaine family history: father passed away at 54 of cva, brother with stents placed at 43, another brother with as physical exam: nad 67 16 127/86 cv rrr sem heard t/o -> carotids lungs ctab ant/lat abdomen benign extrem warm, no edema no varicose veins 5'" 205# pertinent results: echocardiography report , (complete) done at 11:51:21 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 50 m hgt (in): 70 bp (mm hg): / wgt (lb): 205 hr (bpm): bsa (m2): 2.11 m2 indication: intraoperative tee cabg/avr icd-9 codes: 746.9, 410.91, 440.0, 424.1 test information date/time: at 11:51 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 #: 2007aw2-: machine: 2 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.5 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.3 cm <= 5.6 cm left ventricle - ejection fraction: 60% to 65% >= 55% left ventricle - stroke volume: 59 ml/beat aorta - ascending: 2.8 cm <= 3.4 cm aorta - descending thoracic: *2.7 cm <= 2.5 cm aortic valve - peak velocity: 0.5 m/sec <= 2.0 m/sec aortic valve - lvot pk vel: 0.61 m/sec aortic valve - lvot vti: 17 aortic valve - lvot diam: 2.1 cm aortic valve - valve area: *0.6 cm2 >= 3.0 cm2 findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal lv cavity size. overall normal lvef (>55%). right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in aortic arch. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. severely thickened/deformed aortic valve leaflets. severe as (aova <0.8cm2). trace ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. 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. conclusions pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. 4. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets that are fused along the right and non-coronary cusps and is a functionally bicuspid valve.. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). trace aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. post-bypass: the patient was removed from cardiopulmonary bypass on phenylephrine infusion and av pacing. 1. there is a mechanical prosthetic valve in the aortic position. the valve is well seated and there is no evidence of paravalvular leaks or aortic regurgitation. there is noted washing jets from the valve. the peak gradient across the valve is 25mmhg and the mean gradient is 14mmhg. 2. biventricular function is preserved; lvef> 55%. 3. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 06:44 radiology final report chest (portable ap) 5:07 pm chest (portable ap) reason: eval for hemothorax in pt with dropping hct medical condition: 50 year old man s/p cabgx3 reason for this examination: eval for hemothorax in pt with dropping hct reason for examination: dropping hematocrit in a patient after cabg. portable ap chest radiograph compared to . no change in the global or mediastinal contour is demonstrated since the previous study although there is overall increased fullness at the level of the ascending aorta and azygos vein. there is gradual worsening of left retrocardiac atelectasis with slight increase in left pleural effusion although still small to moderate. there is no pneumothorax. there is no evidence of pulmonary edema. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 12:29 pm brief hospital course: he was taken to the operating room on where he underwent a cabg x 3 and avr (on-x mechanical valve). he was transferred to the icu in critical but stable condition. he was extubated later that same day. he was weaned from his neosynephrine and transferred to the floor on pod #1 to begin increasing his activity level. chest tubes and pacing wires removed without incident. coumadin started for mechanical valve. inr therapeutic on pod #6 and cleared for discharge to home. target inr is 2.0-3.0. medications on admission: asa 325 mg daily glyburide 10 mg pioglitazone 15 mg daily vytorin daily lisinopril 10 mg daily oxycodone 15 mg discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(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:*2* 4. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. oxycodone 5 mg tablet sig: three (3) tablet po q6h (every 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 10. warfarin 2 mg tablet sig: one (1) tablet po once a day as needed for avr (onx). disp:*40 tablet(s)* refills:*0* 11. keflex 500 mg capsule sig: two (2) capsule po three times a day for 7 days. disp:*42 capsule(s)* refills:*0* 12. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 13. lopressor 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: cad, as now s/p cabg & avr nstemi, htn, dm, ^ chol, chronic back pain, neuropathic leg pain 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 lifting more than 10 pounds or driving until follow up with surgeon. coumadin dosing/inr follow up with......... first blood draw............ target inr 2.0-3.0 p instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders mononeuritis of lower limb, unspecified other and unspecified hyperlipidemia long-term (current) use of anticoagulants congenital insufficiency of aortic valve 

Answer: The patient is high likely exposed to