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: lipitor / hydrochlorothiazide attending: chief complaint: syncope and exertional dyspnea major surgical or invasive procedure: aortic valve replacement(23mm st. porcine) and three vessel coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending with saphenous vein graft to obtuse marginal and pda history of present illness: this is a 66 year old male who was recently found to have severe aortic stenosis on echocardiogram. he has known about a heart murmur for the last several years but declined workup in the past. current symptoms include exertional dyspnea. also experienced syncopal episode in mid . he denies chest pain, orthopnea and pnd. in preperation for cardiac surgical intervention, he underwent cardiac catheterization which confirmed severe aortic stenosis and revealed multivessel coronary artery disease. past medical history: - diabetes mellitus type ii - hypertension - dyslipidemia - obesity - gerd - history of sinusitis - prior leg fracture - s/p tonsillectomy - s/p wisdom teeth - s/p leg fracture social history: currently laid off, used to work in sales. race: caucasian tobacco: remote tobacco, 20 pyh, quit 20 yrs ago etoh: denies family history: father cabg at 81. denies premature cad. physical exam: pulse: 67 resp: 16 o2 sat: 100% b/p right: 112/70 left: 113/66 height: 5'" weight: 206lbs general: wdwn male in nad skin: dry intact heent: perrla eomi neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 sem radiating throughout precordium and carotids abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - none varicosities: none superficial left varicosities neuro: grossly intact pulses: femoral right: 1 left: 1 dp right: 1 left: 1 pt : 1 left: 1 radial right: 1 left: 1 carotid bruit - transmitted murmur bilaterally brief hospital course: mr. was admitted and underwent aortic valve replacement and coronary artery bypass grafting surgery. for surgical details, please see operative note. following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. his cvicu course was uneventful and he transferred to the step down unit on postoperative day one. his chest tubes and wires were removed per protocol. he was diuresed toward his pre-op weight and betablocker was titrated for blood pressure and heart rate control. he was evaluated and treated by physical therapy and cleared for discharge to home on pod#4. medications on admission: - lisinopril - metformin - lantus insulin - amlodipine - glyburide - prilosec - aspirin - crestor - lasix 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:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fevre/pain. 4. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 5. lasix 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 7. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 8. glyburide 5 mg tablet sig: one (1) tablet po tid (3 times a day). 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours). disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. lantus 100 unit/ml solution sig: eight (8) units subcutaneous at bedtime: add back when appeitie returns to baseline. discharge disposition: home with service facility: vna, discharge diagnosis: aortic stenosis and coronary artery disease, s/p avr/cabg chronic systolic congestive heart failure hypertension dyslipidemia obesity 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 followup instructions: please call to schedule appointments surgeon dr. in 4 weeks primary care dr. in weeks cardiologist dr. or in weeks wound check appointment - 6 () - your nurse will schedule procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified aortic valve disorders other and unspecified hyperlipidemia chronic systolic heart failure obesity, unspecified 

Answer: The patient is high likely exposed to