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: angina/doe/fatigue major surgical or invasive procedure: bentall procedure (27 mm freestyle porcine aortic root/valve)/ repl. hemiarch aorta 26mm gelweave graft)/ talon sternal plating history of present illness: 57 year old gentleman with a history of coronary artery disease status post lad stenting in . he underwent a stress echo this which revealed a dilated ascending aorta and mild aortic stenosis.last cardiac cath . referred for surgical eval. past medical history: past medical history coronary artery disease ( s/p lad stent) hyperlipidemia hypertension obesity peptic ulcer disease with h/o gi bleed diabetes mellitus type 2 fatty liver cholelithiasis bph osa ( no cpap) microscopic hematuria/proteinuria periodically ? tia past surgical history: none social history: last dental exam:18 months ago lives with:wife occupation:housekeeping supervisor at hosp. tobacco: never etoh: 4-5 drinks per month family history: mother with cvas, grandfather with cva physical exam: pulse: 89 resp: 20 o2 sat: 99% b/p right: 146/84 left: 141/93 height: 5'6" weight:295# general:obese, mildly sob skin: dry intact heent: perrla eomi anicteric sclera; has no upper teeth, and lower remaining teeth are loose neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur- 3/6 sem radiates softly to carotids abdomen: soft non-distended non-tender bowel sounds + obese abd; no hsm extremities: warm , well-perfused edema- trace bilat. varicosities: none neuro: grossly intact; nonfocal exam; mae strengths pulses: femoral right: faint left:faint dp right: 1+ left:1+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit: murmur radiates softly to both carotids pertinent results: intra-op tee conclusions pre bypass: there is moderate symmetric left ventricular hypertrophy. overall left ventricular systolic function is normal (lvef>55%). the aortic root is moderately dilated at the sinus level. the ascending aorta is moderately dilated. the aortic arch is moderately dilated. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve is bicuspid. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) central mitral regurgitation is seen. post bypass: patient is av (later a) paced on phenylepherine infusion (transient epi on seperation from bypass). there is a xenograft in the aortic/sinus position (#29 per report). there is no flow outside of the valve, no ai. peak gradient 9, mean 3 mm hg at a cardiac output > 7 l/min. preserved biventricular function lvef > 55%. ascending/ hemiarch aortic conduit contours appear intact with laminar flow. desending aorta intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician 06:39am blood wbc-8.3 rbc-3.04* hgb-9.2* hct-26.5* mcv-87 mch-30.2 mchc-34.6 rdw-14.1 plt ct-230 06:39am blood glucose-97 urean-42* creat-1.3* na-142 k-3.8 cl-101 hco3-31 angap-14 brief hospital course: admitted and underwent surgery with dr. . sternal plating done by dr. . please separate op notes. transferred to the cvicu in stable condition on titrated insulin, phenylephrine, propofol drips. extubated after he awoke neurologically intact. transferred to the floor on pod #1 to begin increasing his activity level. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. the patient did develop left shoulder pain. this was managed with motrin, neurontin, dilaudid and a lidocaine patch. shoulder x-ray negative for fracture and at the time of discharge on pod#5 mr. was able to move his left upper extremity with very minimal discomfort. he was given arm/shoulder exercises to do at home. he was claered for discharge to home on pod#5 by dr. . he ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home in good condition with appropriate follow up instructions. medications on admission: metformin 500-mg/day ( currently on hold pending labs) amlodipine 5-mg/day lisinopril 5-mg/day metoprolol tartrate 75-mg simvastatin 80-mg/day qhs fenofibrate 160-mg/day avodart 0.5 mg/day discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 3. dutasteride 0.5 mg capsule sig: one (1) capsule po daily (). disp:*30 capsule(s)* refills:*2* 4. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 8. ibuprofen 400 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain. disp:*90 tablet(s)* refills:*1* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 10. metformin 500 mg tablet sig: one (1) tablet po daily (daily). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. lasix 40 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 2 weeks. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: home health & hospice discharge diagnosis: aortic aneurysm s/p bentall/hemiarch aorta repl. coronary artery disease ( s/p lad stent) hyperlipidemia hypertension obesity peptic ulcer disease with h/o gi bleed diabetes mellitus type 2 fatty liver cholelithiasis bph osa ( no cpap) microscopic hematuria/proteinuria periodically ? tia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with motrin, dilaudid incisions: sternal - healing well, no erythema or drainage edema 1+ bilateral les 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 until follow up with surgeon 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. tuesday @ 1:30 pm please call to schedule appointments with your primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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 internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum] diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled thoracic aneurysm without mention of rupture hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia morbid obesity congenital insufficiency of aortic valve other chronic nonalcoholic liver disease pain in joint, shoulder region 

Answer: The patient is high likely exposed to