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: ceftriaxone / opioids-morphine & related / amlodipine attending: chief complaint: chest pain and dyspnea with minimal exertion major surgical or invasive procedure: aortic valve replacement with a 25-mm mosaic tissue valve. aortic root enlargement with bovine pericardial patch. coronary artery bypass grafting x3(lima-lad,svg-om1,svg-lpda) history of present illness: this 83 year old male with documented aortic stenosis and coronary disease. he was scheduled for elective surgery . hehad continued angina despite nitrates and was admitted to the service for this. he reports that he has been having progressively worsening exertional chest pain and sob for several months. he first noted the symptoms prior to his cath in 10/. on eve he had an episode of pain at rest, which prompted him to seek further intervention. past medical history: coronary artery disease aortic stenosis renal artery stenosis (genesis stent placed ) renal insufficiency (baseline creatine= 1.7-1.9) hypertension hyperlipidemia diabetes mellitus gastroesophageal reflux disease gout benign prostatic hypertrophy s/p bladder cancer s/p sigmoidectomy s/p right knee replacement s/p bilateral cataracts s/p tonsillectomy as a child social history: race:caucasian last dental exam:1 month ago\ lives with:lives in a retirement community, his wife is in a nursing home with occupation:retired pharmacist tobacco:quit 45 years ago, history of smoking 2-3ppd x23 years etoh:denies family history: non-contributory physical exam: admission: pulse:51 resp:16 o2 sat:100/ra b/p right:170/51 left:167/58 height:5'8" weight:200 lbs general: pleasant elderly male in no acute distress. lying supine, post cardiac cath. skin: dry intact heent: perrla eomi - teeth in fair condition neck: supple full rom - no jvd chest: lungs clear bilaterally heart: rrr irregular murmur 4/6 systolic murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema trace varicosities: none neuro: alert and oriented x3. cn 2-12 grossly intact, 5/5 strength, no focal deficits noted pulses: femoral right: 2 left: 2 dp right: 2 left: 2 pt : 2 left: 2 radial right: 2 left: 2 carotid bruit: soft transmitted murmurs noted bilaterally pertinent results: echo: pre-bypass: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. left ventricular wall thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. 04:14am blood wbc-5.6 rbc-3.40* hgb-10.1* hct-29.9* mcv-88 mch-29.7 mchc-33.8 rdw-14.5 plt ct-234 04:12am blood wbc-5.7 rbc-3.35* hgb-10.0* hct-29.4* mcv-88 mch-29.7 mchc-33.9 rdw-14.7 plt ct-215 12:05am blood wbc-4.4 rbc-3.51* hgb-10.7* hct-30.8* mcv-88 mch-30.5 mchc-34.8 rdw-14.9 plt ct-145* 04:14am blood pt-26.2* inr(pt)-2.5* 04:12am blood pt-27.7* inr(pt)-2.7* 01:45pm blood pt-32.6* inr(pt)-3.3* 06:36am blood pt-31.8* ptt-34.1 inr(pt)-3.2* 06:01am blood pt-19.3* ptt-28.6 inr(pt)-1.8* 11:50am blood pt-12.7 ptt-25.4 inr(pt)-1.1 04:14am blood urean-72* creat-2.7* na-139 k-4.0 cl-98 04:12am blood urean-72* creat-2.7* na-141 k-3.7 cl-99 06:36am blood glucose-132* urean-72* creat-2.7* na-144 k-3.6 cl-103 hco3-29 angap-16 04:59am blood glucose-137* urean-49* creat-2.4* na-140 k-4.3 cl-106 02:27am blood glucose-111* urean-46* creat-2.9* na-139 k-4.3 cl-104 hco3-27 angap-12 06:00am blood glucose-128* urean-50* creat-2.3* na-141 k-4.9 cl-106 hco3-25 angap-15 12:05am blood glucose-119* urean-46* creat-2.2* na-137 k-5.0 cl-107 hco3-20* angap-15 brief hospital course: his chest ct on a previous admission showed a 14 x 9 mm ground glass nodule in the right lower lobe. thoracic surgery was consulted regarding the lung nodule and recommended follow up in several months with no need to delay surgery now. following several days of optimal medical management, he was brought to the operating room on where he underwent an aortic valve replacement and coronary artery bypass graft. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition on neo synephrine, epinephrine and propofol infusions. he was seen by the renal service for his renal insufficiency. pressors wer eweaned to off and he was extubated on pod #3, and gently diuresed toward his preop weight. chest tubes and pacing wires removed per protocol. he transferred to the floor on pod #4 to begin increasing his activity level. electrophysiology was consulted for postop atrial fibrillation with conversion pauses. amiodarone was stopped per theri recommendation. coumadin was started on pod #6. metolazone was added on pod #7 to facilitate diuresis. his renal numbers remained stable for days and at discharge the lasix was changed to an oral form for an additional week of diuresis. the gola inr is 2-2.5 for atrial dysrhythmia and will be managed by the rehabilitation facility. he was discharged to rehab on . appointments for follow up were made as appropriate. medications at discharge were as noted. medications on admission: valsartan 320 mg by mouth daily aspirin 162 mg po daily simvastatin 20 mg po daily metoprolol succinate 25 mg po daily isosorbide mononitrate 30 mg po tid tamsulosin 0.4 mg po qhs lantus 30 units sc qhs humalog at breakfast, at lunch, at dinner amoxicillin 500 mg po tid (chronic suppression for prosthetic joint) allopurinol 100 mg po daily trazodone 50 mg po qhs prn insomnia esomeprazole 40 mg po daily peri-colace (8.6/50 mg) 1 tab po qhs prn constipation miralax 17 gram po daily multivitamin 1 tab po daily discharge medications: 1. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 2. polyethylene glycol 3350 17 gram/dose powder : one (1) 17 gm dose po daily (daily). 3. simvastatin 40 mg tablet : 0.5 tablet po daily (daily). 4. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day) for 1 months. 5. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). 6. metolazone 5 mg tablet : one (1) tablet po daily (daily) for 7 days: 1/2 hour before lasix dose. 7. lopressor 50 mg tablet : 1.5 tablets po three times a day. 8. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 9. warfarin 1 mg tablet : as directed tablet po once daily at 4 pm: goal inr 2-2.5. 10. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed for constipation. 11. lasix 80 mg tablet : one (1) tablet po once a day for 7 days. 12. allopurinol 100 mg tablet : one (1) tablet po daily (daily). 13. amoxicillin 500 mg capsule : one (1) capsule po three times a day. 14. insulin glargine 100 unit/ml (3 ml) insulin pen : thirty (30) units subcutaneous hs. 15. humalog kwikpen 100 unit/ml insulin pen : as directed subcutaneous ac & hs: 120-160:4units sq ac only// 161-200:6units sq ac,4units hs// 201-240:8units ac,6units hs// 241-280:10units ac,8units hs//. discharge disposition: extended care facility: tba discharge diagnosis: coronary artery disease aortic stenosis s/p coronary artery bypass graft x 3 and aortic valve replacement paroxysmal atrial fibrillation renal artery stenosis (genesis stent placed ) chronic renal insufficiency (baseline creatine= 1.7-1.9) hypertension hyperlipidemia insulin dependent diabetes mellitus gastroesophageal reflux disease gout benign prostatic hypertrophy s/p bladder cancer s/p sigmoidectomy s/p right knee replacement s/p bilateral cataract extraction s/p tonsillectomy discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right and left - healing well, no erythema or drainage. edema:trace. minor skin tears legs and chest from tape 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 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** labs: pt/inr for coumadin ?????? indication postop a fib goal inr 2.0-2.5 first draw ................. results to phone fax .............. followup instructions: you are scheduled for the following appointments surgeon: dr. () on at 1:15 pm cardiologist: dr. on at 10:45 am please call to schedule appointments with your 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** labs: pt/inr for coumadin ?????? indication postop a fib goal inr 2.0-2.5 first draw : procedure: venous catheterization, not elsewhere classified 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 endarterectomy, aorta procedure on single vessel diagnoses: hyperpotassemia thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) long-term (current) use of insulin personal history of malignant neoplasm of bladder other diseases of lung, not elsewhere classified acute diastolic heart failure knee joint replacement 

Answer: The patient is high likely exposed to