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: morphine attending: chief complaint: chest pain major surgical or invasive procedure: emergency repl. ascending and arch aorta chest closure history of present illness: 78 year old retired urologist presented to osh complaining of 40 minutes of chest pain that radiated to his back and throat. per report from osh, ecg notable for inferior and lateral st changes concerning for ischemia and pt not currently in afib. cta done at osh revealed type a aortic dissection. he was medflighted into . dr. reviewed the cta and mr. was taken emergently to the operating room. past medical history: chronic afib->on pradaxa, htn, ? hx of cardiac dz per osh hpi, prostate cancer. social history: has family in vicinity ? girlfriend physical exam: pt was seen emergently-vs noted pulse: 64 resp: o2 sat: b/p 104/65 height: 74" weight: ? 90 kg five meter walk test #1_______ #2 _________ #3_________ general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right: left: dp right:2+ left:2+ bounding dp pulses(b) pt : left: radial right: left: carotid bruit right: left: pertinent results: pe-bypass: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is severely dilated. the descending thoracic aorta is mildly dilated. a mobile density is seen in the ascending and descending aorta, and across the arch, consistent with an intimal flap/aortic dissection. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild aortic regurgitation is seen. the flap overlies the aortic valve enough that the short axis window is poor, and coronary flow cannot be determined. the stj looks intact. trivial mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is paced, on no inotropes. preserved biventricular systolic fxn. there is a tube graft in the ascending aorta. 1+ ai. descending aorta unchanged. other parameters as pre-bypass. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:18 brief hospital course: mr. was medflighted in from and taken emergently to or for type a dissection repair with dr. . he underwent resection of ascending aortic dissection with hemi-arch replacement under circulatory arrest. cross clamp time: 99 minutes.pump time:170 minutes.circulatory arrest time:26 minutes. he had been on pradaxa at home and had significant coagulopathy postoperatively requiring his chest to be left open. on his bleeding has stopped, and he was brought back to the operating room for closure of the sternum. please refer to operative reports for further surgical details. mr. the operations well and was transferred back to the cvicu intubated and sedated in stable condition on titrated phenylephrine and propofol drips. postoperatively, he developed renal failure with creatinine peaking at 5.8. renal service was consulted. his creatnine trended down during admission. chest tubes and pacing wires removed per protocol. he was gently diuresed toward his preop weight. he awoke neurologically intact and was extubated on pod #4. he had intermittent confusion over the next few days. his mental status cleared and he was transferred to the step down unit on pod # 12 to begin increasing his activity level. physical therapy was consulted for evaluation of strength and mobility. his chronic atrial fibrillation was not well rate controlled on maximum dose of diltiazem and rhythmol alone. beta-blocker was added to his regimen, as previously the patient deferred beta-blocker due to his feeling lethargic after taking it. a non-selective beta-adrenoreceptor was initiated in lieu of lopressor. his anticoagulation was resumed with coumadin. the remainder of his postoperative course was essentially uneventful. his creatnine continued to trend down and he was cleared to rehab on pod#15. all follow up appointments were advised. (stopped ) medications on admission: nexium 40(1),lipitor 40 mg 3x/weekly., propafenone hcl 150mg (4), pradaxa 150 (2), levitra prn discharge disposition: extended care facility: - ( hospital of and islands) discharge diagnosis: acute type a aortic dissection s/p repl. ascending and arch aorta acute renal failure chronic afib->was on pradaxa s/p ablation hypertension hx of cardiac dz per osh hpi prostate cancer discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal and r axillary - healing well, no erythema or drainage edema ................ 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** followup instructions: you have been scheduled for the following appts: surgeon dr. thursday @ 1:15 pm dr (cardiologist) @ 11:00 am please call to schedule appointments with your primary care dr. in 4 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 a fib goal inr 2.0-2.5 first draw day after discharge *** please arrange for coumadin/inr f/u with pcp or cardiologist prior to discharge from rehab*** procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery enteral infusion of concentrated nutritional substances resection of vessel with replacement, thoracic vessels other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum] open heart valvuloplasty of aortic valve without replacement diagnoses: thrombocytopenia, unspecified acute kidney failure with lesion of tubular necrosis unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation personal history of malignant neoplasm of prostate aortic valve disorders hemorrhage complicating a procedure disorders of phosphorus metabolism surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other and unspecified special symptoms or syndromes, not elsewhere classified anticoagulants causing adverse effects in therapeutic use other and unspecified coagulation defects dissection of aorta, thoracic unspecified psychosis other fluid overload 

Answer: The patient is high likely exposed to