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: codeine attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement (23mm st. tissue) history of present illness: 69 year old male with no prior cardiac history who was recently treated for squamous cell carcinoma of the left vocal cord. over the last several months, he has noted dyspnea on exertion and chest pain while walking. he noted this to his oncologist during a follow-up appointment who referred him to dr. . an exercise tolerance test was done which was stopped due to near syncope. an echocardiogram showed severe aortic stenosis. in preparation for surgery, a cardiac catheterization was performed which showed mild non-obstuctive coronary artery disease. currently he denies syncope, pre-syncope, orthopnea, pnd and pedal edema. he had prviously never been told he had a heart mumrur. he presents for surgical evaluation. past medical history: aortic stenosis, s/p aortic valve replacement pmh: mild coronary artery disease - squamous cell carcinoma of the left vocal cord, s/p chemotherapy/radiation - dyslipidemia - gerd past surgical history: - tonsillectomy - appendectomy - repair of anal fissure - feeding tube during chemo/radiation. this has been removed. social history: lives with: wife in , ma contact: phone # occupation: retired cigarettes: smoked no yes last cigarette 1.5 years ago hx: ppd for 50 years. other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: denies premature coronary artery disease. mother died of aneurysm at age 74 physical exam: vital signs sheet entries for : bp: 152/79. heart rate: 73. resp. rate: 16. o2 saturation%: 100. height: 72" weight: 170lb general: wdwni in nad. voice is hoarse. skin: warm, dry and intact heent: ncat, perrla, eomi, sclera anicteric, op benign. edentulous neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr iii/vi sem, nl s1-s2 abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit - tranmitted murmur vs. bruit pertinent results: intra-op tee conclusions pre bypass: the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylepherine. patient is av paced. a well-seated bioprosthetic valve is seen in the aortic position with normal leaflet motion and gradients (mean gradient = 19-20 mmhg). no aortic regurgitation is seen. regional and global left ventricular systolic function are normal. aortic contours intact. all findings discussed with surgeons at the time of the exam. 04:32am blood wbc-7.7 rbc-3.60* hgb-11.2* hct-33.6* mcv-93 mch-31.2 mchc-33.4 rdw-13.1 plt ct-190 06:00am blood wbc-9.3 rbc-3.48* hgb-11.1* hct-32.5* mcv-93 mch-31.8 mchc-34.1 rdw-13.1 plt ct-130* 04:50am blood wbc-12.5* rbc-3.38* hgb-10.6* hct-31.3* mcv-93 mch-31.4 mchc-33.9 rdw-13.2 plt ct-107* 04:32am blood pt-12.3 inr(pt)-1.1 01:45am blood pt-12.9* ptt-24.2* inr(pt)-1.2* 12:23pm blood pt-13.5* ptt-26.7 inr(pt)-1.3* 10:48am blood pt-16.5* ptt-30.3 inr(pt)-1.6* 04:32am blood glucose-125* urean-13 creat-0.9 na-136 k-4.4 cl-99 hco3-27 angap-14 06:00am blood na-134 k-4.2 cl-96 04:50am blood glucose-150* urean-14 creat-0.8 na-129* k-4.4 cl-95* hco3-27 angap-11 01:45am blood glucose-102* urean-7 creat-0.7 na-133 k-4.2 cl-104 hco3-21* angap-12 brief hospital course: the patient was brought to the operating room on where the patient underwent aortic valve replacement with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. he demonstrated a few episodes of brief, rate-controlled atrial fibrillation. he converted to sinus rhythm with amiodarone and was in sinus rhythm at the time of discharge. anti-coagulation was initiated with coumadin. he has received 3 mg on pod3 and was to receive 5 mg on for an inr of 1.1. inr to be checked on by vna. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: omeprazole - (prescribed by other provider) - 40 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth twice a day simvastatin - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day medications - otc multivitamin - (prescribed by other provider) - tablet - 1 tablet(s) by mouth once a day omega-3 fatty acids-vitamin e - (prescribed by other provider) - 1,000 mg capsule - 1 capsule(s) by mouth once a day discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*1* 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. disp:*30 ml(s)* refills:*0* 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 10. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days. disp:*7 tablet, er particles/crystals(s)* refills:*0* 11. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): x 1 week then 400 mg daily x 1 week then 200 mg daily x 1 month. disp:*80 tablet(s)* refills:*0* 12. coumadin 5 mg tablet sig: one (1) tablet po once a day: take as directed for inr goal 2.0-2.5. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna, discharge diagnosis: aortic stenosis, s/p aortic valve replacement pmh: mild coronary artery disease - squamous cell carcinoma of the left vocal cord, s/p chemotherapy/radiation - dyslipidemia - gerd past surgical history: - tonsillectomy - appendectomy - repair of anal fissure - feeding tube during chemo/radiation. this has been removed. discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage trace edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **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: wound check at cardiac surgery office at at 10:00a cardiologist: dr. at 12:00p surgeon dr. at at 1:30p please call to schedule the following: primary care dr. , c. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr coumadin for atrial fibrillation goal inr 2.0-2.5 first draw day after discharge then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by dr. procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux hyposmolality and/or hyponatremia atrial fibrillation aortic valve disorders personal history of tobacco use other and unspecified hyperlipidemia personal history of irradiation, presenting hazards to health personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to