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: amoxicillin attending: chief complaint: shortness of breath and hypotension major surgical or invasive procedure: - emergent re-exploration for bleeding, evacuation of clot and hemostasis. history of present illness: this 54 year old male was seen at hospitla earlier today with complaints of back pain and chest pain. his blood pressure at that time was in the 200s systolic. a ct scan done there showed a type a dissection. he was transferred here on a nipride dripand emergently taken to the operating room. on he underwent emergency repair of complex type a aortic dissection with total arch replacement with size 28 gelweave graft. recently discharged on . woke this morning at around 430 am with back pain, diaphoresis, lightheadedness. seen at and was hypotensive. resuscitated with total of cc crystalloid and started on dopamine drip. med flight here. ct showed no evidence of extension of dissection or rupture. emergency echocardiogram showed large pericardial effusion with evidence of tamponade. admitted and will undergo emergency drainage of pericardial effusion past medical history: ascending aortic dissection hypertension h/o prostate cancer s/p knee surgery social history: 35 pack year smoking history. drinks 1 gallon of vodka per week (1-2 drinks per night - very large drinks) family history: non contributory physical exam: general: nad, alert and cooperative heent: eomi, perrla neck: from, supple cardio: no murmur neuro/psych: awake, alert, follows instructions gastrointestinal: no masses. pulse exam (p=palpation, d=dopplerable, n=none) rle femoral: +2. dp: +1. pt: +1. lle femoral: +2. dp: +1. pt: +1. pertinent results: echo the left atrium is moderately dilated. the left atrium is elongated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the appearance of the ascending aorta is consistent with a normal tube graft. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. a mobile density is seen in the distal aortic arch consistent with an intimal flap/aortic dissection. a mobile density is seen in the descending aorta consistent with an intimal flap/aortic dissection. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). there is a large pericardial effusion. the effusion appears to have the consistency of blood. there are no echocardiographic signs of tamponade. dr. was notified in person of the results in the operating room at the time of the study. brief hospital course: mr. was admitted to the on for emergency surgery for tamponade. he was taken to the operating room where evacuation of clot and hemostasis was achieved. postoperatively he was taken to the intensive care unit for monitoring. he remained intubated and sedated overnight with tight blood pressure control. on postoperative day one, he was allowed to wake and was extubated. the endocrinology service was consulted for elevated catecholamines in his urine. pheochromocytoma was very unlikely given no adrenal lesions on ultrasound. his blood pressure will be watched as an outpatient and further worked-up will be performed if his blood pressure becomes unmanageable. later on postoperative day two, he was transferred to the step down unit for further recovery. he worked with physical therapy daily. he continued to make steady progress and was discharged to his home on . he will follow-up with dr. and his primary care physician as an outpatient. as he currently does not have a cardiologist, an appointment has been made for him to follow-up with dr. as an outpatient. medications on admission: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). :*6 disk with device(s)* refills:*2* 3. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qfri (every ). :*4 patch weekly(s)* refills:*2* 4. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 4 weeks: take 2 tablet twice daily for two weeks, then one tablet twice daily for two weeks, then stop medicine. :*112 tablet(s)* refills:*0* 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain for 4 weeks. :*60 tablet(s)* refills:*0* 7. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane q4h (every 4 hours) as needed for sore throat. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temp/pain. 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 4 weeks. :*30 tablet(s)* refills:*0* 10. amlodipine 10 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*2* 11. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). :*135 tablet(s)* refills:*2* 12. hydralazine 50 mg tablet sig: one (1) tablet po four times a day. :*120 tablet(s)* refills:*2* 13. keflex 500 mg capsule sig: one (1) capsule po four times a day for 1 weeks. :*28 capsule(s)* refills:*0* discharge medications: 1. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). :*90 tablet, delayed release (e.c.)(s)* refills:*4* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. :*60 capsule(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. :*50 tablet(s)* refills:*0* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: 1 inhalation disk with device inhalation (2 times a day) for 1 months. :*1 disk with device(s)* refills:*0* 8. amiodarone 200 mg tablet sig: one (1) tablet po once a day for 1 months: take for 1 month and then per primary care physician. :*30 tablet(s)* refills:*0* 9. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qfri (every ). :*4 patch weekly(s)* refills:*2* 10. norvasc 10 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: tamponade s/p repair of type a aortic dissection ascending aortic dissection hypertension h/o prostate cancer s/p knee surgery 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 monitor your blood pressure at home daily, if systolic blood pressure (top number) is greater then 140mmhg, please call you primary care physician. call with any questions or concerns followup instructions: please call to schedule appointments surgeon dr. phone: date/time: 1:00pm primary care dr. in weeks please follow-up with cardiologist dr. 9:20 am. wound check appointment - 6 () - your nurse will schedule md procedure: reopening of recent thoracotomy site control of hemorrhage following vascular surgery diagnoses: unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of prostate atrial flutter hemorrhage complicating a procedure 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 alcohol abuse, continuous cardiac tamponade shock, unspecified 

Answer: The patient is high likely exposed to