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: 67m with acute onset of back pain. major surgical or invasive procedure: replacement of ascending aorta and hemiarch/resuspension of the aortic valve fem-fem bypass fasciotomy of r leg history of present illness: this 67wm has no significant pmhx and presented to the ed with acute back pain. he had a type a dissection of the aorta extending from the aortic arch to the aortic bifurcation and the r common iliac. he was transferred via med flight and went directly to the or. past medical history: none pertinent results: 05:30am blood pt-13.9* ptt-29.3 inr(pt)-1.2* 07:10am blood glucose-101 urean-24* creat-1.2 na-139 k-4.4 cl-101 hco3-27 angap-15 06:50am blood alt-92* ast-184* ld(ldh)-598* ck(cpk)-3098* alkphos-47 totbili-0.5 : wbc 13,000, hct 30.6 plt 618,000 radiology final report chest (pa & lat) 11:35 am chest (pa & lat) reason: pleural effusion medical condition: 67 year old man type a dissection involving iliac arteries s/p aortic arch/hemiarch repair reason for this examination: pleural effusion type of examination: chest pa and lateral. indication: status post aortic repair area, followup examination, evaluate effusion. findings: ap and lateral chest views obtained with the patient in sitting upright position are analyzed in direct comparison with an ap portable chest examination obtained on . heart size is unchanged. no pulmonary congestion has developed. during the interval, the right-sided chest tube has been removed, but the left-sided chest tube remains. no pneumothorax has developed. however, the blunting of the right-sided pleural sinus has increased slightly with the density reaching the level of the minor fissure. no new pulmonary infiltrates have developed. no pneumothorax identified. impression: removal of right-sided chest tube with slightly increased pleural fluid accumulation on the right base. no other new abnormalities. dr. cardiology report echo study date of patient/test information: indication: r/o thrombus. height: (in) 67 weight (lb): 204 bsa (m2): 2.04 m2 bp (mm hg): 130/47 status: inpatient date/time: at 14:54 test: portable tte (focused views) doppler: no doppler contrast: none tape number: 2006w027-0:52 test location: west technical quality: suboptimal referring doctor: dr. r. interpretation: findings: left atrium: mild la enlargement. right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv cavity size. suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. cannot assess lvef. no lv mass/thrombus. right ventricle: normal rv chamber size and free wall motion. aortic valve: mildly thickened aortic valve leaflets (3). mitral valve: normal mitral valve leaflets with trivial mr. pericardium: no pericardial effusion. conclusions: 1. the left atrium is mildly dilated. 2. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function cannot be reliably assessed. no masses or thrombi are seen in the left ventricle. 3. the aortic valve leaflets (3) are mildly thickened. electronically signed by , md on 15:09. physician: , . brief hospital course: pt transferred from hospital after ct scan showed type a aortic dissection. he was brought emergently to operating room were he had a replacement of ascending aorta and hemiarch/resuspesion of aortic valve and repair of intimal tears w/plegets. his bypass time was 162 minutes, crossclamp 95 minutes, circ arrest 5 minutes. please see or report for full details. additionally the patient was noted to have right leg ischemia with a mottled right foot and had a cfa-cfa bypass w #8ringed ptfe by dr of the vascular surgery service. please see or report for details. pt tolerated the operations and was transferred from or to icu he was hemodynamically stable. the patient was kept sedated through pod1 and on pod2 sedation was weaned and extubated. the patient was also noted to have right leg compartment syndrome and returned to the operating room for fasciotomy of right lower leg with dr . the patient remained in the icu until pod4 when he was transferred to the stepdown floor for continued post-op care. on pod6 the patient was noted to have left sided weakness and facial droop, a ct showed multiple bilateral strokes and a neurology consult was obtained. the facial droop resolved, left sided weakness gradually resolved and the patient continued to work with pt/ot postoperatively. on pod 15/14 it was decided that the patient was stable and ready to be discharged to rehabilitation. he is to be followed by ct surgery, vascular surgery and neurology after discharge medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 5. oxycodone 10 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po q12h (every 12 hours). disp:*60 tablet sustained release 12hr(s)* refills:*0* 6. aspirin 325 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* 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. combivent 103-18 mcg/actuation aerosol sig: two (2) puffs inhalation four times a day. 9. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 10. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 8 days. disp:*8 tablet(s)* refills:*0* 11. insulin regular human 100 unit/ml solution sig: sliding scale unit injection qac&hs. discharge disposition: extended care facility: - discharge diagnosis: s/p ao arch and hemiarch repair s/p fem-fem bypass, s/p r fasciotomy s/p lft sided cva discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds do not drive for 4 weeks. do not lift more than 10 lbs for 2 months followup instructions: dr in weeks dr in weeks dr /(cardiac surgery) in 4 weeks dr (vascular) in 2 weeks. dr (neurology) in weeks md procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other (peripheral) vascular shunt or bypass resection of vessel with replacement, thoracic vessels transfusion of packed cells other repair of vessel transfusion of other serum open heart valvuloplasty of aortic valve without replacement transfusion of platelets other immobilization, pressure, and attention to wound other incision of soft tissue diagnoses: tobacco use disorder aortic valve disorders retention of urine, unspecified late effects of cerebrovascular disease, hemiplegia affecting unspecified side cerebral embolism with cerebral infarction dissection of aorta, thoracoabdominal iatrogenic cerebrovascular infarction or hemorrhage other disorders of muscle, ligament, and fascia dissection of other artery dissection of iliac artery 

Answer: The patient is high likely exposed to