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: no known allergies / adverse drug reactions attending: chief complaint: asymptomatic major surgical or invasive procedure: mv repair/p2 resection with 36 mm annuloplasty ring history of present illness: 60 year old gentleman with known mitral valve prolapse for the past 30 years which has been followed by serial echocardiograms. his most recent echocardiogram revealed moderate to severe bileaflet prolpase with now blunted pulmonary inflows and a slight decrease in his left ventricular function. given the progression of his disease, he has now been referred for surgical evaluation. cardiac catheterization: date:8/17/1/11 place: normal coronaries past medical history: past medical history: mitral valve proplapse hypertension hyperlipidemia impingement syndrome basal cell carcinoma tremor in hands de quarvain's disease colonic adenoma recent pneumonia past surgical history: nevi excisions left inguinal hernia social history: race: caucasian last dental exam: every 6 months lives with: alone occupation: retired contact: (sister)phone# tobacco: never etoh: 1 drink per week socially family history: father with 2 prior cabg's first at age 60. he passed away following his second cabg. uncle with fatal mi at age 60 physical exam: pulse: 63 sr resp: 16 o2 sat: 99% b/p right: 123/76 left: 119/80 height: 66" weight: 160 general: wdwn in nad skin: warm, dry and intact. no c/c/e heent: nact, perrla, eomi, sclera anciteric. op benign. neck: supple full rom chest: lungs clear bilaterally heart: rrr, iii/vi mid late systolic murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right: none left: none pertinent results: tte left atrium: no spontaneous echo contrast or thrombus in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: normal lv wall thickness, cavity size, and global systolic function (lvef>55%). normal lv wall thickness. normal lv cavity size. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. no atheroma in ascending aorta. no atheroma in aortic arch. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: severely thickened/deformed mitral valve leaflets. myxomatous mitral valve leaflets. moderate/severe mvp. no ms. the mr vena contracta is <0.3cm. eccentric mr jet. severe (4+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: pulmonic valve not visualized. no ps. physiologic pr. pericardium: no pericardial effusion. conclusions prebyass: 1. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%).though ef may be overestimated due to the severity of the mitral regurgitation. 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the descending thoracic aorta. 6. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve leaflets are severely thickened/deformed. the mitral valve leaflets are myxomatous. there is moderate/severe anterior & posterior leaflet mitral valve prolapse. an eccentric, anteriorly directed jet of severe (4+) mitral regurgitation is seen. dilated mitral annulus measured at 4.3cm. 8. the tricuspid valve leaflets are mildly thickened. 9. there is no pericardial effusion. postbypass: 1.the patient is av paced on low dose phenylephrine infusion. 2. there is a mitral annuloplasty ring in place. there was no stenosis noted. 3.there is + mr noted post annuloplasty. 4. there is moderate to severe noted on 2d, color doppler & 3d images. the findings were unchanged despite fluid challenges, phenylephrine challenges, or administration of beta blockers. 5. there is mild lvotobstruction with gradients not exceeding 15-20mmhg. 07:35am blood wbc-5.6 rbc-2.94* hgb-10.0* hct-27.3* mcv-93 mch-33.9* mchc-36.5* rdw-13.0 plt ct-159 07:35am blood wbc-5.6 rbc-2.94* hgb-10.0* hct-27.3* mcv-93 mch-33.9* mchc-36.5* rdw-13.0 plt ct-159 10:45am blood wbc-3.8* rbc-2.70*# hgb-9.0*# hct-25.3*# mcv-94 mch-33.2* mchc-35.4* rdw-12.8 plt ct-63*# 07:35am blood glucose-99 urean-8 creat-0.6 na-140 k-4.3 cl-104 hco3-29 angap-11 12:40pm blood urean-13 creat-0.6 na-140 k-4.0 cl-108 hco3-23 angap-13 brief hospital course: mr. was admitted to the hospital and brought to the operating room on where the patient underwent a mitral valve repair/p2 resection with a 36 mm annuloplasty ring with dr.. see operative note for full details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated with goal heart rate 60-70's (moderate with higher heart rates seen on tee intraop). the patient was gently diuresed toward the preoperative weight. mr. continued to progress and was transferred to the telemetry floor for further recovery on pod 1. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod# 4 he was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home in good condition, with vna and follow up instructions advised. medications on admission: zocor 40mg daily inderal la 160mg daily primidone 250mg take twice daily as needed for tremor amoxicillin prophylaxis discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. primidone 250 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for tremors. disp:*60 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: mitral regurgitation discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg edema 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **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 on at 1:00pm. cardiologist - dr. in office on at 1:00pm please call to schedule appointments with your primary care 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 heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders unspecified essential hypertension personal history of other malignant neoplasm of skin other affections of shoulder region, not elsewhere classified radial styloid tenosynovitis 

Answer: The patient is high likely exposed to