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: tetracycline attending: chief complaint: shortness of breath major surgical or invasive procedure: mitral valve repair with posterior leaflet (p2)triangular resection with a ring annuloplasty using a 34-mm profile 3-d annuloplasty ring, full left and right-sided concomitant maze procedure with resection of the left atrial appendage using the gemini x bipolar system and the excel monopolar pen. reconstruction of the pericardium using a core matrix product. history of present illness: 53 year old male with significant medical history of mitral valve prolapse and severe mitral valve regurgitation. also recently found to be in atrial fibrillation for which he has been started on coumadin. the patient does describe shortness of breath with strenuous activity, however, has attributed this to deconditioning. cardiac catheterization revealed normal coronaries. routine echo was done to evaluate murmur. results revealed a markedly dilated la, a moderately dilated lv cavity with overall normal lv systolic function, an lvef of 70%, 1+ar, mildly thickened mitral valve leaflets, mild to moderate posterior mitral leaflet prolapse, 3+ mr restrictive filling abnormality with elevated left atrial pressure and borderline pulmonary artery systolic hypertension. past medical history: mitral valve prolapse mitral valve regurgitation atrial fibrillation tonsillectomy as a child social history: lives with: wife, and family occupation:purchasing tobacco: occ cigar(2x/wk) etoh:few beers/day-denies illicit drug use family history: mother with heart murmur and mitral valve regurgitation physical exam: pulse: 76 af resp: 18 o2 sat: 98%-ra b/p right: 135/42 left: height: 71" weight: 212 lbs general:nad, lying on stretcher skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 4-5/6 sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro:a&ox3, mae, follows commands. grossly intact, pulses: femoral right:cath site left: 2+ dp right: 2+ left: 2+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: 05:25am blood wbc-4.5 rbc-2.92* hgb-9.7* hct-27.6* mcv-95 mch-33.2* mchc-35.2* rdw-12.3 plt ct-97* 04:11am blood wbc-6.2 rbc-2.49* hgb-8.0* hct-23.8* mcv-95 mch-32.1* mchc-33.7 rdw-12.3 plt ct-78* 05:25am blood pt-13.8* inr(pt)-1.2* 04:11am blood pt-14.2* ptt-29.7 inr(pt)-1.2* 03:09am blood pt-15.2* ptt-34.0 inr(pt)-1.3* 02:15pm blood pt-15.3* ptt-36.5* inr(pt)-1.3* 01:24pm blood pt-14.9* ptt-33.8 inr(pt)-1.3* 12:29pm blood pt-21.7* ptt-150* inr(pt)-2.0* 05:25am blood glucose-114* urean-12 creat-1.0 na-133 k-4.0 cl-96 hco3-29 angap-12 04:11am blood glucose-113* urean-11 creat-0.9 na-135 k-3.7 cl-98 hco3-32 angap-9 05:25am blood mg-2.1 echocardiography report at 9:55:56 am final findings left atrium: marked la enlargement. mild spontaneous echo contrast in the body of the la. mild spontaneous echo contrast in the laa. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: moderately dilated ra. a catheter or pacing wire is seen in the ra and extending into the rv. no spontaneous echo contrast in the raa. no thrombus in the raa. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. top normal/borderline dilated lv cavity size. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. no as. trace ar. mitral valve: partial mitral leaflet flail. no mass or vegetation on mitral valve. mild mitral annular calcification. torn mitral chordae. no ms. moderate to severe (3+) mr. to the eccentric mr jet, its severity may be underestimated (coanda effect). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. conclusions pre-cpb:1. the left atrium is markedly dilated. mild spontaneous echo contrast is seen in the body of the left atrium. mild spontaneous echo contrast is present in the left atrial appendage. no thrombus is seen in the left atrial appendage. 2. the right atrium is moderately dilated. no thrombus is seen in the right atrial appendage no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. lvef = 65%, although this may be an overestimate in the setting of moderately severe mr. 4. right ventricular chamber size and free wall motion are normal. 5. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. there is no aortic valve stenosis. trace aortic regurgitation is seen. 7. there is partial mitral leaflet flail of p2 and some of p1. 3-d images were obtained. the annulus size was normal. no mass or vegetation is seen on the mitral valve. torn mitral chordae are present. moderate to severe (3+) mitral regurgitation is seen with an anteriorly-directed jet.. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. a pacing for slow sinus. well-seated annuloplasty ring in the mitral position. no mr. minimal ms with 3 mmhg mean gradient and mva = 3.0 cm2. preserved biventricular systolic function with lvef now 50%. trace ai. the laa is no longer visible after maze procedure. the aortic contour is normal post decannulation. brief hospital course: admitted same day surgery and underwent mitral valve repair, maze, and left atrial appendage ligation. see operative report for further details. he received cefazolin for perioperative antibiotics. he was transferred to the cvicu for post operative management. he was weaned sedation, awoke neurologically intact, and extubated without complications in the first twenty four hours. he was started on epinephrine for decreased cardiac function, he improved and was able to wean off post operative day one. he was started on amiodarone due maze procedure and coumadin was restarted, in which he did have episodes of atrial fibrillation post operatively. he remained in the intensive care unit awaiting floor bed, was transfered on post operative day three. physical therapy worked with him on strength and mobility. he was started on ativan for anxiety after finding out mother passed away and social work was consulted. he continued to progress and was ready for discharge home with services on post operative day 4 in sinus rhythm. medications on admission: metoprolol succinate - 25 mg daily warfarin -7.5mg daily. discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 8. lorazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. disp:*30 tablet(s)* refills:*0* 9. warfarin 5 mg tablet sig: one (1) tablet po once a day: dose will change daily for goal inr 2.0-2.5, dr. to manage. disp:*60 tablet(s)* refills:*2* 10. outpatient lab work serial pt/inr, dx: atrial fibrillation goal inr 2.0-2.5\ 1st draw , results to dr. , fax: 11. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*0* 12. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): 400mg daily x 7 days, then 200mg daily until further instructed. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: mitral regurgitation s/p mv repair atrial fibrillation s/p maze laa ligation discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns pt/inr for coumadin dosing: goal inr 2.0-2.5 for atrial fibrillation followup instructions: provider: , md phone: date/time: 1:45 please call to schedule appointments primary care dr. in weeks cardiologist dr in weeks wound check appointment - 6 () - your nurse will schedule pt/inr for coumadin dosing: goal inr 2.0-2.5 for atrial fibrillation coumadin dosing to be followed by dr fax (spoke with office ) procedure: extracorporeal circulation auxiliary to open heart surgery excision or destruction of other lesion or tissue of heart, open approach open heart valvuloplasty of mitral valve without replacement other repair of heart and pericardium excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: thrombocytopenia, unspecified anemia, unspecified mitral valve disorders atrial fibrillation other chronic pulmonary heart diseases long-term (current) use of anticoagulants long-term (current) use of aspirin 

Answer: The patient is high likely exposed to