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: no drug allergy information on file attending: chief complaint: increasing doe and exertional chest pain major surgical or invasive procedure: i 25mm ce magna pericardial avr history of present illness: this is a 53 year old male with known as/bicuspid valve. over the past several months, he admits to progressive dyspnea on exertion and chest pain. he also reports one syncopal episode. his symptoms resolve with rest. at age 13, he underwent repair of his congenital aortic coarctation. he also has a history of tia in which presented as facial droop and right sided paresis. this episode completely resolved within 3 hours. he has been followed by serial echo's. an echo back in showed severe as with of 0.7 cm2. his peak gradient was 120 mmhg with a mean of 93. there was 2+ ai and his lvef was estimated at 60%. elective cardiac catheterization on confirmed severe as with of 0.4 cm2. peak gradient 90 with mean of 59 mmhg. there was 3+ ai. aortic root measured 3.2 cm. there was no gradient across coarctation. ci estimated at 2.1 with lvedp of 21. angiography was notable for only a 40% lesion in the circumflex - coronary arteries were otherwise clean. based on the above results, he was referred for cardiac surgical intervention. past medical history: coarctation of aorta - s/p repair in ; hypertension, asthma, history of tia, migraine social history: denies tobacco. no history of excessive etoh. he is married. family history: both parents died of ruptured aortic aneurysms. physical exam: bp 164/85 hr 79 regular sat 100% ra resp 18 general: wdwn male in nad neck: supple, no jvd heart: rrr, normal s1s2, 4/6 sem radiates to carotids lungs: cta bilaterally abdomen: benign ext: warm, no edema pulses: 2+ distally pertinent results: 05:30am blood wbc-9.6 rbc-3.66* hgb-10.4* hct-31.4* mcv-86 mch-28.3 mchc-33.0 rdw-14.7 plt ct-116* 05:30am blood glucose-94 urean-18 creat-1.3* na-141 k-3.7 brief hospital course: mr. was admitted on and underwent an aortic valve replacement(25 millimeter ce magna pericardial valve) by dr. . surgery was uneventful. following the operation, he was brought to the csru. within 24 hours, he was extubated and weaned from intravenous therapy. low dose beta blockade was initiated. he maintained stable hemodynamics and transferred to the sdu on postoperative day one. he was diuresed toward his preoperative weight. beta blockade was advanced as tolerated. he remained in a normal sinus rhythm. by discharge, his oxygen saturations were 97% on room air. he was cleared for discharge to home on postoperative day three.e he is scheduled to follow up with dr. and his local cardiologist. medications on admission: , 81 qd discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. 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* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 7. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed. disp:*1 inhaler* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: gentiva/ discharge diagnosis: as/ai htn, congential coarctation of aorta s/p repair, asthma, tia discharge condition: good. discharge instructions: shower, no baths, no swimming, wash incision with mild soap and water and pat dry. no lotions, creams, powders to incision. call with temperature more than 100.5, redness or drainage from incision, weight gain more than 2 pounds in one day or five in one week. do not lift anything heavier than 10 pounds for 1 month do not drive for 1 month p instructions: dr. 4 weeks pcp . 2 weeks cardiologist dr. 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension asthma, unspecified type, unspecified other and unspecified angina pectoris congenital insufficiency of aortic valve diseases of tricuspid valve 

Answer: The patient is high likely exposed to