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: codeine attending: chief complaint: who presents to the cardiovascular surgery service for mvr. major surgical or invasive procedure: s/p redo sternotomy,mvr 27mm mosaic porcine, maze reoperation for bleeding history of present illness: this is a 66 y/o white male with an extensive hx of cardiac dz (s/p cabg x 4 , mitral valve disease) and copd who presents with sob x 1.5 months. patient has had extensive cardiology workup including catheterization and echo. past medical history: 1. cad s/p mi and cabgx4 2. afib 3. ms/mr 4. copd/asthma 5. pud 6. s/p inguinal hernia repair social history: lives in , married. retired ups driver. smoked 1.5 ppd x 35 yrs but quit in . 1 drink/wk family history: mother, sister, brother with "heart problems" physical exam: gen: alert and oriented pleasant white male, sitting up in chair, in nad heent: perrl, op clr, mmm lungs: lungs cta bilaterally without w/c/r cv: rrr,s1s2, no m/r/g abd: soft, nt/nd. +bs. liver edge percussed, no hsm, no rebound, no guarding ext: no edema. 2+ distal pulses. no cyanosis. nuero:aao x3 pertinent results: 07:24am blood wbc-10.5 rbc-3.16* hgb-9.5* hct-27.7* mcv-88 mch-30.0 mchc-34.2 rdw-14.6 plt ct-404 12:51pm blood wbc-12.6*# rbc-3.39*# hgb-10.2*# hct-30.4*# mcv-90 mch-30.1 mchc-33.5 rdw-13.1 plt ct-121* 07:16am blood pt-16.2* inr(pt)-1.7 12:51pm blood pt-17.6* ptt-46.4* inr(pt)-2.1 05:37pm blood fibrino-141* 07:24am blood glucose-101 urean-15 creat-1.2 na-140 k-4.1 cl-99 hco3-32* angap-13 12:51pm blood glucose-70 urean-10 creat-0.6 na-156* k-2.9* cl-125* hco3-16* angap-18 07:24am blood mg-2.2 02:34pm blood mg-3.0* brief hospital course: the patient was admitted to the crsu following a redo mvr and take back to or for bleeding and maze on please see operative report for further detail. on postoperative day one the patient was neurologically stable, weaned from epinepherine, weaned from a ventilator and extubated. additionally he recieved one unit of packed rbcs and was kept on kefzol for antimicrobial protection. on postop day two the patient remained neurologically stable, epinepherine was discontinued, diet was advanced, lasix was held and the patient was transferred to from the cardiac icu to a regular hopital floor room. on postop day three the patient's chest tubes were kept to wall suction, physical therapy was started and diuresis with lasix 20mg iv twice a day was given. the patient had minor air leaks that were seen on chest x-ray and via his chest tubes on forceful expiration through the pleurovac. on postop day four the patient was doing well had no complaints, his pacing wires were discontinued as was his right chest tube. the patient had a chest xray post right chest tube removal showing a small apical pneumothorax. on postop day five the patient experienced some nausea that was treated with zofran his potassium was repleted, while his pain was controlled with tylenol and toradol. the patient's left chest tube was dicontinued on postop day seven as well his toradol. the patient recieved ambien in the evening as a sleeping aid. the patient did well on postop day eight his mediastinal chest tube had a small air leak. his anxiety and night time sleeping improved. previously mentioned nausea was also better. the patient worked well with physical therapy and his ability to ambulate was better. on postop day nine the patient's mediastinal chest tube was placed to water seal. on postop day ten his mediastinal chest tube was discontinued. the chest xray that followed showed improved lung expansion and a very small effusion. oxygen therapy was arranged for the patient to go home with. the patient's lasix dosage was decreased from 20mg twice a day to once per day. the patient did well overnight and had no complaints in the morning of postop day eleven. nursing care was arranged during the hospital stay and he was happy to be going home. medications on admission: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po qd (once a day). 3. simvastatin 10 mg tablet sig: one (1) tablet po qd (once a day). 4. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for sob. 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. lorazepam 0.5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for anxiety. 8. amiodarone hcl 200 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 9. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime): take 5 mg po 5 days a week and 2.5 mg po 2 days a week. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. pantoprazole sodium 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:*0* 3. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day): take 325mg when inr<2.0, otherwise take 81mg . disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. simvastatin 10 mg tablet sig: one (1) tablet po qd (once a day). 5. amiodarone hcl 200 mg tablet sig: one (1) tablet po qd (once a day) for 1 months. disp:*30 tablet(s)* refills:*0* 6. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) puff inhalation (). 7. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 9. warfarin sodium 7.5 mg tablet sig: one (1) tablet po qd (once a day). 10. furosemide 20 mg tablet sig: one (1) tablet po qd (once a day) for 5 days. disp:*5 tablet(s)* refills:*0* 11. oxygen use prn with exertion discharge disposition: home with service facility: vna discharge diagnosis: mitral stenosis redo sternotomy s/p mvr 27mm mosaic porcine valve prolonged air leak from chest tubes pre operative atrial fibrillation 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 no heavy lifting do not apply lotions, creams ointments or powders to any incisions followup instructions: follow up with dr. in weeks follow up with dr. in weeks follow up with dr. in weeks in the office and on monday by phone for results of pt/inr follow up with dr. in weeks follow up with dr. in 1 month procedure: insertion of intercostal catheter for drainage extracorporeal circulation auxiliary to open heart surgery excision or destruction of other lesion or tissue of heart, open approach reopening of recent thoracotomy site open and other replacement of mitral valve with tissue graft transfusion of packed cells diagnoses: atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hemorrhage complicating a procedure iatrogenic pneumothorax chronic obstructive asthma, unspecified mitral stenosis with insufficiency 

Answer: The patient is high likely exposed to