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: sulfa (sulfonamides) attending: chief complaint: incarcerated obstructed paraesophageal hernia. major surgical or invasive procedure: procedure performed: 1. left thoracotomy with extensive intrapleural lysis of adhesions. 2. thoracoabdominal repair of incarcerated paraesophageal hernia with reduction of gastric volvulus. 3. repair of esophagotomy and gastrotomy. 4. dor fundoplication. 5. feeding jejunostomy. 6. drainage gastrostomy. 7. diagnostic esophagoscopy. 8. bronchoscopy with aspiration of secretions. history of present illness: mr. is unfortunate 41-year-old gentleman with marfan syndrome status post extensive aortic dissection who has had multiple vascular procedures including de-branching of the head vessels which are now fed with new grafts from the ascending aorta and the femoral axillary graft with endo grafting of the ascending aorta, arch and descending aorta, de-branching of the visceral aorta with static grafting and extra-anatomic reconstruction of both renal arteries, the celiac access and superior mesenteric artery. about 10 months ago he presented with spontaneous rupture of the esophagus and underwent a very complex repair of the left thoracotomy with primary repair buttressed by gastric fundus and transposition of the omentum. he had a very long convalescence but eventually did well. he recently returned to the hospital with evidence of herniation of the entire stomach into the chest with organoaxial volvulus and obstruction. after careful radiographic and endoscopic evaluation it was recommended that he undergo a thoracoabdominal repair of this. given the prior boerhaave contamination of the left pleural space it was expected that there may be extensive adhesions and a transthoracic approach was necessary. it was unclear prior to surgery whether we would perform separate thoracotomies and laparotomy or one thoracoabdominal incision. this decision was deferred to the time of surgery. the patient agreed to this treatment plan. past medical history: -marfan syndrome -thoracic aortic aneurysm s/p endovascular stent placement to ascending, arch, and descending aorta with right axillary - femoral bypass grafting and reconstruction of innominate and left carotid artery ; s/p visceral debranching procedure & infrarenal aortobi-iliac graft -boerhaave's esophageal rupture s/p repair -aortic dissection s/p aortic valve replacement & ascending aorta replacement -h/o post-op dvt -h/o post-op a-fib -asthma -gerd -hiatal hernia, s/p hernia repair, -s/p foot surgery social history: denies tobacco. admits to occasional etoh. he is married and lives with his wife. is an electrical engineer. family history: denies connective tissue disorders. no history of premature cad. physical exam: general: well appealing thin male in nad heent: unremarkable chest:cta bilat cor: rrr s1, s2 abd: soft, nt, nd, +bs extrem: no c/c/e neuro: intact pertinent results: barium swallow : no obstruction or extravasation. luminal irregularity of the distal esophagus in region of fundoplication likely represents postoperative edema. correlate clincially. cxr 07 free air is still seen under the right hemidiaphragm. a very small left apical pneumothorax is again noted. a left chest tube is present at the base. mediastinal changes are essentially unaltered. atelectasis of the left base is again seen. the right lung remains clear. complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 04:53am 6.0 3.50* 9.1* 28.6* 82 26.0* 31.8 18.6* 570* source: line-r tlcl basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 04:53am 570* source: line-r tlcl chemistry renal & glucose glucose urean creat na k cl hco3 angap 04:53am 105 13 0.6 138 4.1 101 34* 7* brief hospital course: pt was taken to the or on for repair of an incarcerated hernia via the following procedures: left thoracotomy with extensive intrapleural lysis of adhesions, thoracoabdominal repair of incarcerated paraesophageal hernia with reduction of gastric volvulus, repair of esophagotomy and gastrotomy, dor fundoplication, feeding jejunostomy, drainage gastrostomy, diagnostic esophagoscopy, bronchoscopy with aspiration of secretions. or course was w/o complications. pt had a 2 chest tubes for drainage, a g-tube and a j-tube. post operatively, pt remained intubated was admitted to the icu for monitoring and management. pod#1 pt was extubated w/o difficulty. rec'd 2uprbc for post anemia. pod#2 trophic j-tube feeds started. g-tube remains to gravity d/t high vol output>1l/24hr period. pod#3 pt transferred from icu to floor for ongoing post op care. pod#4 apical chest tube removed w/ stable cxr. pod# tube feeds gradually increased to goal and is well. good bowel function. gastric tube still w/ high vol output ~1 liter/24hrs. remaining chest tube d/c'd w/ stable cxr. pod#7 passed barium swallow w/slow but complete passage of barium into the stomach- see results section. pod#8 cleared by pt for d/c to home w/ vna for supportive services. medications on admission: lopressor 25", protonix 40", nortriptyline 10'', lyrica 75", asa 81', advair 250/50" discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q4h (every 4 hours) as needed. disp:*400 ml(s)* refills:*0* 2. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid. disp:*60 tablet,rapid dissolve, dr(s)* refills:*2* 3. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po once a day: you will need clamp your g-tube for one hour after taking this medication orally. disp:*30 tablet, chewable(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet : 0.5 tablet po bid (2 times a day): you will need to clamp your g-tube for one after taking this medication orally. disp:*30 tablet(s)* refills:*2* 5. fluticasone-salmeterol 100-50 mcg/dose disk with device : one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: marfan's, asthma, h/o aortic dissection (x3), s/p esoph rupture w emergent repair psh: avr, r ax bifem, ao arch replacement, stent graft of entire descending aorta w/debranching diaphragmatic hernia repair. discharge condition: good discharge instructions: call dr. office if you experience chest pain, shortness of breath, fever, chills, nausea, vomiting, diarrhea, or abd pain. if your feeding tube sutures become loose or break, please tape tube securely and call the office . if your feeding tube falls out, save the tube, call the office immediately . the tube needs to be replaced in a timely manner because the tract will close within a few hours. do not put any medication down the tube unless they are in liquid form. flush your feeding tube with 50cc every 8 hours if not in use and before and after every feeding. please empty the gastric drain daily and record the ouput. bring a record of the drainage to your clinic appointment. any questions reguarding the drain, please call . followup instructions: you have a follow up appointment with dr. on thursday at 4:30pm in the clinical center . please arrive 45 minutes prior to your appointment and report to the clinical center radiology for a cxr. procedure: other enterostomy other esophagoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances transfusion of packed cells other gastrostomy suture of laceration of stomach suture of laceration of esophagus other operations on thorax other procedures for creation of esophagogastric sphincteric competence repair of diaphragmatic hernia with thoracic approach, not otherwise specified diagnoses: other iatrogenic hypotension anemia, unspecified esophageal reflux asthma, unspecified type, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation mechanical complication of other vascular device, implant, and graft pleurisy without mention of effusion or current tuberculosis diaphragmatic hernia with obstruction other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation marfan syndrome 

Answer: The patient is high likely exposed to