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: fatigue/dyspnea major surgical or invasive procedure: avr (# 27 ce magna,tissue), ascending aortic graft (# 28 gelweave) history of present illness: the patient is a 45 year old gentleman with history of a bicuspid valve and ascending aortic aneurysm. he has been followed by serial echos when he presented with a syncopal episode. recently, his aorta was measured at approximately 5.1 cm and he was noted to have severe aortic stenosis and 3+ aortic insufficiency. he presents for surgical correction. past medical history: bicuspid aortic valve ascending aortic aneurysm social history: lives with wife in , ma. 1-3 beers per weekend. occasional cigar. family history: father with coronary artery disease physical exam: 72 sr bp 120/78 gen: wdwn in nad heent: ncat, perrl, eomi, anicteric sclera, op benign lungs: clear heart: iv/vi systolic murmur. abd: soft, nt/nd nabs. ext: warm, well perfused. no varicosities neuro: nonfocal pertinent results: 06:45am blood wbc-12.1* rbc-4.18* hgb-13.0* hct-36.2* mcv-87 mch-31.1 mchc-35.9* rdw-13.2 plt ct-366 06:45am blood plt ct-366 06:45am blood glucose-116* urean-15 creat-1.0 na-138 k-4.3 cl-103 hco3-24 angap-15 echo the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. there is symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small with systolic cavity obliteration (consistent with an underfilled chamber). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is dilated. right ventricular systolic function appears depressed (probably mild-moderate free wall hypokinesis). there are simple atheroma in the descending thoracic aorta. a bioprosthetic aortic valve prosthesis is present and appears well seated. a tube graft is noted in the ascending aorta (the distal portion of the graft was not visualized). the aortic prosthesis leaflets appear to move normally. the mitral valve appears structurally normal with trivial mitral regurgitation. there is a trivial/physiologic pericardial effusion. ekg sinus rhythm at upper limits of normal rate. since the previous tracing of the rate has increased and qrs voltage has decreased. there are st segment elevations in the inferior and lateral leads that may be more prominent and related to rate in a post-operative state. clinical correlation is suggested. cxr removal of tubes, drains and catheters. no pneumothorax. bibasilar atelectasis with effusions. ospital course: mr. was admitted to the on for surgical management of his aortic disease. he was taken directly to the operating room where he underwent an aortic valve replacement using a 27mm pericardial valve and an ascending aorta replacement using a 28mm gelweave graft. amiodarone was started while coming off bypass. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, an emergency echocardiogram was performed for hypotension which was unremarkable. a chest tube was placed for a left basalir pneumothorax. a stress dose steroid taper was started. he remained intubated as he became hypotensive with low oxygen saturations when attempted to wean off the ventilator. a heparin induced thrombocytopenia assay was sent due to postoperative thrombocytopenia which was negative. on postoperative day three, mr. neurologically intact and was extubated. gentle diuresis was initiated. the physical therapy service was consulted to assist with mr. postoperative strength and mobility. his pacing wires and drains were removed when protocol was met. levofloxacin was started for gram negative rods in his sputum and a fever. on postoperative day six, he was transferred to the cardiac surgical step down unit for further recovery. oxygen was weaned slowly off with stable room air saturations. mr. continued to make steady progress and was discharged home on postoperative day seven. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: atenolol discharge medications: 1. 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* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 3. labetalol 100 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 4. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily): for intra-op vt, until d/c'd by dr. . disp:*30 tablet(s)* refills:*2* 5. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days. disp:*4 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: as, dilated asc. aorta discharge condition: good discharge instructions: no lifting > 10# or driving for 1 month no creams lotions, or powders to incisions may shower no bathing or swimming for 1 month p instructions: with dr. in weeks dr. in weeks with dr. in weeks 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 diagnoses: thoracic aneurysm without mention of rupture aortic valve disorders iatrogenic pneumothorax 

Answer: The patient is high likely exposed to