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:nkda. social:lives in . widower (wife died 2yrs ago). supportive family-2 grand-daughters live with him. retired truck driver & vol fireman. distant smoker. wo etoh. semi-active. present hx: developed lightheadedness w loc subsequent syncopal event w loc. awoke in ambulance wo knowledge of events. ew- hypotensive w decreased sats on nrb. fl reususitated. cta- bilateral pulm emboli-rxed w heparin & tpa. w improvement of bp/sats. developed arf w creat to 5's-?related to hypotension on admission or dye w cta. echo-revealed lg r atrium clot involving perm-pacing wires. transfered to from osh (early eves) for further management. o:neuro=responsive. appropriate. cooperative. easily startled when awoken from sleep. appears forgetful_longterm memory. pulm=o2 4l w sats mid 90's. breath sounds=deminished throughout. wo co sob/dyspnea, but appears to need to work at breathing. cxr-wo pneumonia/chf. cv=af w controlled rate. borderline bp-lower when asleep. cardiac meds held. bolused w 500ml x1 for bp & decreased uo. heparin initially @ 900u--ptt sub-theraputic--rebolused & gtt increased w am ptt pending. gi=no appetite. taking po fl. wo stool. endo=pm bs wo coverage. renal=minimal uo. elevated creat. wo response to fl bolus. id=afebrile. bcx2 & uc sent. labs=am labs sent. social=family all from upper nh. difficult to get to . hoping to come wednesday to visit w pt & meet w staff. under impression that surgery was going to be immediate. informed that he not only has clot, but also has renal failure. a:79 yo male transfered from hospital for management of r atrium clot & renal failure. procedure: extracorporeal circulation auxiliary to open heart surgery other and unspecified repair of atrial septal defect open chest cardiac massage insertion or replacement of epicardial lead [electrode] into epicardium open chest coronary artery angioplasty procedure on single vessel replacement of any type of pacemaker device with single-chamber device, rate responsive diagnoses: hyperpotassemia subendocardial infarction, initial episode of care diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism atrial fibrillation other chronic pulmonary heart diseases chronic kidney disease, unspecified ostium secundum type atrial septal defect other emphysema long-term (current) use of anticoagulants other complications due to other cardiac device, implant, and graft hemorrhage of gastrointestinal tract, unspecified bronchiectasis without acute exacerbation other pulmonary embolism and infarction acute venous embolism and thrombosis of unspecified deep vessels of lower extremity acute endocarditis, unspecified 

Answer: The patient is high likely exposed to