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: angina and doe major surgical or invasive procedure: s/p redo aortic valve replacement with 19mm regent mechanical valve history of present illness: 40 yo male with history of procedure/ rvot reconstruction/ bentall procedure/ replacement of autograft pv ( aortic position with 23mm ce tissue valve) at in . pt. now present with fatigue/angina, and doe. echo showed severe prosthetic valve stenosis with peak gradient of 70mm. referred for re-operation. past medical history: bicuspid av/as /ai/ dilated root (prior to ) htn bipolar disorder/anxiety/panic attacks shingles 5 months ago psh: above heart surgery; tonsillectomy social history: occasional beer no sitory of smoking lives with girlfriend unemployed family history: non-contrib. physical exam: hr 61 rr 18 right 110/72 left 100/71 5'8" 192 # nad,lying flat after cath skin /heent unremarkable neck supple,full rom ctab anterolaterally rrr 4/6 sem radiates to carotids soft, nt, nd, + bs warm,well-perfused, no edema or varicosities noted neuro grossly intact 2+ bil. fem/dp/pt/radials pertinent results: 07:20am blood wbc-6.1 rbc-3.14* hgb-8.8* hct-26.5* mcv-84 mch-28.0 mchc-33.2 rdw-14.5 plt ct-299 07:20am blood plt ct-299 07:20am blood pt-30.7* ptt-45.1* inr(pt)-3.2* 07:20am blood glucose-93 urean-16 creat-0.8 na-137 k-4.4 cl-98 hco3-28 angap-15 final report chest (pa & lat) 3:40 pm chest (pa & lat) reason: eval for hemothorax in pt with dropping hct medical condition: 40 year old man s/p reason for this examination: eval for hemothorax in pt with dropping hct history: 40-year-old male status post aortic valve replacement. evaluate for hemothorax in patient with dropping hematocrit. comparison: . chest, pa and lateral: lung volumes continue to be low with linear atelectasis of the right lung base and partial atelectasis of the left lung base. compared to prior study, there is some improvement in aeration of the left lung base. however, continued followup is recommended. lungs are otherwise clear. cardiomediastinal silhouette is unchanged. sternotomy wires are intact. artificial aortic valve and multiple surgical clips overlie the mediastinum. impression: bibasilar atelectasis with some improvement of the left lung base atelectasis. however, continued followup is recommended. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 8:55 pm conclusions pre-cpb: s/p failed procedure, with aortic bioprosthesis and pulmonary valve implants, presents with stenotic aortic prosthesis. no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 45 - 50%). there is mild global right ventricular free wall hypokinesis. a bioprosthetic aortic valve prosthesis is present. the mitral valve leaflets are mildly thickened. the mitral valve leaflets are elongated, and demonstrate chordal . no mitral regurgitation is seen. there is no pericardial effusion. post-bypass: an aortic valve prosthesis is well-seated and functioning with no ai or leak. aorta intact. residual gradient is 30 mmhg. good biventricular systolic fxn. chordal persists but does not seem to present hemodynamic sequelae. other parameters as prebypass. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:06 ?????? brief hospital course: admitted and underwent redo sternotomy/ with dr. . transferred to the cvicu in stable condition on propofol and phenyleprine drips. extubated the following morning. gentle diuresis started and beta blockade titrated. transferred to the floor on pod #2 to begin increasing his activity level.coumadin started for his mechanical valve with iv heparin coverage until therapeutic.pacing wires and chest tubes removed without incident.seen by social work regarding his housing situation. cleared for discharge to home on pod #5. inr labs to be drawn at a lab near his father's house with results to our office until arranged with pcp. to dr. who will pick up inr/coumadin dosing on . medications on admission: asa 81 mg daily benicar 40 mg/hctz 12.5 mg daily lopressor 50 mg daily mvi tab daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 3. warfarin 3 mg tablet sig: one (1) tablet po once a day: please take 3mg sunday you will have inr checked on monday for further dosing. disp:*60 tablet(s)* refills:*3* 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 6. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 7. outpatient lab work labs: pt/inr for coumadin dosing lab draws mon-wed-fri and prn with results to dr office # for further dosing discharge disposition: home discharge diagnosis: prosthetic aortic stenosis s/p redo hypertension bipolar disorder s/p bentall and procedure with rvot reconstruction with homograft discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns pt/inr drawn mon-wed-fri goal inr 2.5-3.0 for mechanical results to dr office followup instructions: please call to schedule all appointments dr in 4 weeks dr in 1 week labs: pt/inr for coumadin dosing lab draws mon-wed-fri with results to dr office, spoke with dr and will follow his coumadin dosing procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve diagnoses: unspecified essential hypertension other complications due to heart valve prosthesis aortic valve disorders other and unspecified angina pectoris bipolar disorder, unspecified 

Answer: The patient is high likely exposed to