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: chest pain, shortness of breath major surgical or invasive procedure: coronary artery bypass x 2, mitral valve repair, repair of right femoral artery history of present illness: the patient is an 82 year old male who developed chest pain while snow-blowing and called 911. he presented to the , and was transferred to for catheterization. he ruled in for non-st elevation myocardial infarction. past medical history: coronary artery disease hypertension benign prostatic hyperplasia hyperlipidemia polyps of vocal cords social history: semi-retired lives with wife denies tobacco drinks red wine daily denies recreational drugs family history: no history of premature coronary disease physical exam: admission: vs: 116/56, 80, 23 gen: nad heent: unremarkable neck: supple, full rom chest: lungs ctab heart: rrr abd: +bs, soft, non-tender, non-distended ext: warm, well-perfused, no edema neuro: grossly intact pertinent results: 06:40am blood wbc-8.0 rbc-3.17* hgb-9.6* hct-27.6* mcv-87 mch-30.2 mchc-34.7 rdw-14.0 plt ct-390# 06:40am blood glucose-125* urean-39* creat-1.1 na-142 k-4.4 cl-105 hco3-30 angap-11 06:45am blood mg-2.9* echocardiography report , (complete) done at 6:09:50 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 82 m hgt (in): 68 bp (mm hg): / wgt (lb): 180 hr (bpm): bsa (m2): 1.96 m2 indication: chest pain. coronary artery disease. left ventricular function. right ventricular function. valvular heart disease. icd-9 codes: 410.91, 440.0, 413.9, 414.8, 424.1, 424.0 test information date/time: at 18:09 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw0-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.7 cm <= 4.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.5 cm <= 5.6 cm left ventricle - ejection fraction: >= 55% >= 55% aorta - annulus: 2.2 cm <= 3.0 cm aorta - sinus level: *3.8 cm <= 3.6 cm aorta - sinotubular ridge: *3.3 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - arch: 2.1 cm <= 3.0 cm aorta - descending thoracic: *2.6 cm <= 2.5 cm mitral valve - mean gradient: 1 mm hg mitral valve - pressure half time: 58 ms mitral valve - mva (p t): 3.8 cm2 mitral valve - : 0.38 cm2 mitral valve - regurgitation volume: 55 ml pulmonic valve - peak velocity: 0.7 m/sec <= 1.5 m/sec pericardium - effusion size: 1.0 cm findings left atrium: mild la enlargement. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. top normal/borderline dilated lv cavity size. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal diameter of aorta at the sinus, ascending and arch levels. mildly dilated aortic sinus. normal ascending aorta diameter. normal aortic arch diameter. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. mild to moderate (+) ar. mitral valve: partial mitral leaflet flail. eccentric mr jet. moderate to severe (3+) mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: small to moderate pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre-bypass: the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the diameters of ascending aorta and arrch levels are normal. the aortic root is mildly dilated at the sinus level. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild to moderate (+) aortic regurgitation is seen. there appears to be flail of the p3 leaflet of the mitral valve. an eccentric jet of moderate to severe (3+) mitral regurgitation is seen. there is a small to moderate sized pericardial effusion. post bypass: the patient is av paced and on an infusion of phenylephrine. left and right ventricular function is preserved. the aorta is intact. a mitral valve repair has been performed and an annuloplasty band placed. there is now no mr. mild to moderate ar persists. the remainder of the examination is unchanged. dr. was notified in person of the results in the operating room. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 09:51 ?????? caregroup is. all rights reserved. brief hospital course: the patient was brought to the operating room emergently due to bleeding in the right groin at the site of the intraortic balloon pump. he underwent cabg x 2, mitral valve repair with 28mm band and repair of the right femoral artery (by dr. . please see operative report for further details. overall the patient tolerated the procedure well and was transferred to the cvicu post operatively for further monitoring. on pod 1 the patient remained intubated and hemodynamics were supported with phenylephrine, norepinephrine and epinephrine. within 24 hours of surgery, the patient was extubated and the balloon pump was discontinued. vasoactive drips were weaned off. the patient was transferred to the telemetry floor on pod 3. chest tubes and pacing wires were discontinued without complication. the patient was gently diuresed toward his preoperative weight. social work consult was obtained for family's concern of patient's history of emotional/verbal abuse towards family members, including wife who recently had a stroke. additionally, geriatrics consult was obtained for further management of this issue. the geriatrics team will continue to follow the patient when he is discharged to rehab. the patient made reasonable progress post-operatively. he was discharged to the rehab on pod 6. medications on admission: sertraline 50mg daily lisinopril 2.5mg daily simvastatin 20mg daily diovan 80mg daily doxazosin lipitor 10mg daily clonazepam finasteride 5mg daily glucosamine chondroitin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 2. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 3. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 4. doxazosin 1 mg tablet sig: two (2) tablet po hs (at bedtime). 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed. 7. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 11. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 12. ayr saline gel spray, non-aerosol sig: one (1) nasal once a day. 13. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 14. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 15. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 16. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours). 17. furosemide 40 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: coronary artery disease pmh: hypertension benign prostatic hyperplasia vocal cord polyps hyperlipidemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks () dr. in 1 week dr. in weeks please call for appointments wound check appointment 6 as instructed by nurse () procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of one coronary artery implant of pulsation balloon suture of artery open heart valvuloplasty of mitral valve without replacement operations on chordae tendineae diagnoses: acidosis coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia hemorrhage complicating a procedure hypotension, unspecified surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure urinary complications, not elsewhere classified delirium due to conditions classified elsewhere oliguria and anuria rupture of chordae tendineae unspecified personality disorder 

Answer: The patient is high likely exposed to