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: aortic stenosis major surgical or invasive procedure: aortic valve replacement(27-mm mosaic ultra aortic valve bioprosthesis). history of present illness: this 70 year old white male with known aortic stenosis with symptoms of dysnpea on exertion and chest pressure. he presented this admission for elective aortic valve replacement. past medical history: hypertension aortic stenosis nephrolithiasis peripheral neuropathy gastroesophageal reflux chronic urinary retention s/p left total knee replacement s/p cataract surgery s/p tonsillectomy s/p abdominal hernia repair social history: race:caucasian last dental exam:seeing dentist next week lives with:partner on occupation:retired publishing company executive tobacco:quit ; 20 pack yr history etoh: bottle of wine each night family history: mother with hypertension and multiple strokes physical exam: admission: pulse:80 resp:12 o2 sat: 97%ra b/p right:139/85 left:159/90 height:6'2" weight:217 lbs general: skin: dry intact no rash well healed scar over left knee (s/p tkr) heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 sem loudest at left sternal border abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema or varicosities neuro: grossly intact x pulses: femoral right: cath site left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: left: +transmitted murmur pertinent results: 06:15am blood wbc-12.6* rbc-3.21* hgb-11.4* hct-32.6* mcv-102* mch-35.5* mchc-35.0 rdw-13.8 plt ct-330 05:45am blood wbc-13.0* rbc-2.91* hgb-10.2* hct-29.3* mcv-101* mch-35.2* mchc-34.9 rdw-13.0 plt ct-228 10:32am blood wbc-19.4*# rbc-3.09* hgb-11.2*# hct-31.9* mcv-104* mch-36.2* mchc-35.0 rdw-13.9 plt ct-203 06:15am blood glucose-99 urean-20 creat-1.0 na-139 k-4.1 cl-102 hco3-29 angap-12 07:50am blood glucose-110* urean-16 creat-0.9 na-135 k-4.4 cl-101 hco3-28 angap-10 12:09pm blood urean-15 creat-0.9 cl-113* hco3-21* brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent aortic valve replacement. see operative report 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 on propofol and neo synephrine infusions pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication per protocol. on post operative day 2 the patient experienced some visual changes. neurology was consulted and a head cta showed no acute intracranial abnormality. no significant intracranial stenosis or embolic cut-off was noted. a preoperative carotid ultrasound was negative. the vision changes had resolved within a few hours and neurology recommended outpatient mri/mra if symptoms recurred. 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, wounds were healing and pain was controlled with oral analgesics. he was still 10 hilograms above his preoperative weight and lasix was continued for 2 weeks after discharge. the patient was discharged in good condition with appropriate follow up instructions. medications on admission: allopurinol 300mg po daily enalapril 10mg po daily ranitidine 150mg po daily prn simvastatin 40mg po daily cialis 20mg po prn flomax 0.8 mg po bid asa 162mg po daily mvi milk thistle 200mg po daily cranberry-vit c-vit e 2 capsules po daily valium prn: sleep discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 2 weeks. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). tablet, delayed release (e.c.)(s) 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po twice a day. discharge disposition: home with service facility: vna discharge diagnosis: aortic stenosis s/p aortic valve replacemnet chronic urinary retention hyperlipidemia hypertension s/p left knee replacement s/p cataract surgery s/p tonsillectomy s/p ventral herniorraphy gastroesophageal reflux nephrolithiasis peripheral neuropathy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: surgeon: dr. on tuesday, at 1:00 () please call to schedule appointments with your primary care: dr. in weeks cardiologist: 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 and other replacement of aortic valve with tissue graft diagnoses: esophageal reflux unspecified essential hypertension aortic valve disorders unspecified hereditary and idiopathic peripheral neuropathy other specified visual disturbances knee joint replacement other specified retention of urine 

Answer: The patient is high likely exposed to