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: mitral regurgitation major surgical or invasive procedure: mitral valve repair/ligation of left atrial appendage history of present illness: this 55 year old white male recently was noted to have a murmur. echocardiography demonstrated severe mitral regurgitation. a cardiac catheterization revealed 4+ regurgitation without coronary disease. he was referred for surgical evaluation and was now admitted for operation. past medical history: depression prostatism social history: dental last exam works as a carpenter smokes a pack a day for 20 years episodic heavy etoh use. none in a week he says. family history: noncontributory physical exam: admission: pulse: 78 resp: 16 o2 sat: 98% b/p right: 131/92 left: 140/96 height: weight: 210 # general: wdwn male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur holosystolic murmur best heard at llsb abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 2 carotid bruit right/left: none pertinent results: 04:40am blood wbc-5.8 rbc-3.40* hgb-10.8* hct-30.9* mcv-91 mch-31.9 mchc-35.1* rdw-13.6 plt ct-338 05:05am blood pt-13.1 inr(pt)-1.1 04:40am blood glucose-98 urean-15 creat-1.0 na-136 k-4.5 cl-97 hco3-28 angap-16 echo the left atrium is moderately dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild global left ventricular hypokinesis (lvef = 45-50%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. a mitral valve annuloplasty ring is present. the mitral annular ring appears well seated with normal gradient. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: mild global left ventricular systolic dysfunction. normally-functioning mitral annuloplasty. no significant pericardial effusion seen. compared with the prior study (images reviewed) of , the native regurgitant mitral valve has been repaired. lv function is slightly less vigorous, although given recent correction of severe mr, the intrinsic lv systolic function is probably similar. brief hospital course: following admission he was taken to the operating room where p2 resection, annuloplasty (30mm ring) and ligation of the left atrial appendage were performed. he weaned from bypass on low dose epinephrine and propofol. he weaned from pressors and the ventilator easily. intra-operatively he had brief atrial fibrillation and was begun on amiodarone. in the morning after surgery he was in a junctional rhythm in the 40s and required ventricular pacing. amiodarone was stopped and his rate gradually increased to the 50s with a return of sinus mechanism alternating with junction. chest tubes were removed on pod#1 and he was transferred to the floor. physical therapy was consulted for mobility and strength. the electrophysiology service was consulted for consideration of a permanent pacemaker, but as his atrial activity began to recover. he expereinced an 11 beat run of asymptomatic, non-sustained vt. he was able to tolerate low dose lopressor and he was deemed to no longer need one. attempts to increase lopressor resulted in junctional rhythm. electrophysiology will titrate lopressor as an outpatient. on post-operative day eight his epicardial wires were removed, he was ambulatory, stable and ready for discharge home with vna follow up. all follow-up appointments were advised. medications on admission: none discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 2. 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* 3. metoprolol tartrate 25 mg tablet sig: 0.25 tablet po bid (2 times a day). disp:*15 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 mdi* refills:*2* 6. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: mitral regurgitation prostatism depression s/p appendectomy s/p mitral valve repair (#30mm ring)/left atrial ligation discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage edema - none 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours followup instructions: you are scheduled for the following appointments surgeon: dr. () date/time: 1:15 cardiologist: dr. at 2:30pm please call to schedule appointments with: primary care 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 heart valvuloplasty of mitral valve without replacement other repair of heart and pericardium excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: mitral valve disorders cardiac complications, not elsewhere classified atrial fibrillation paroxysmal ventricular tachycardia personal history of other malignant neoplasm of skin other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified congenital anomaly of heart other and unspecified alcohol dependence, episodic 

Answer: The patient is high likely exposed to