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: fatigue/dyspnea on exertion major surgical or invasive procedure: - mitral valve repair with 28mm annuloplasty ring and resection of p2. history of present illness: this 61-year-old gentleman has a well-known history of mitral regurgitation followed by serial echocardiograms. his most recent echocardiogram revealed severe mr, which is worse since his prior echocardiogram. he is symptomatic with fatigue, doe, and had a presyncopal episode on last week. an echocardiogram on showed an lvef of 55%. no vsd or asd, 4+ mr with the prolapse of the anterior and posterior leaflets, 2+ tr, no as or ai. mr was very likely severe 4+ as regurgitation enters the pulmonary veins. carotid ultrasound on showed no significant stenosis. cardiac catheterization was performed on at , which has not been dictated at this time. past medical history: past medical history is significant for hypertension, mitral regurgitation, hyperlipidemia, pneumonia in the past, erectile dysfunction, prostate cancer, and bladder cancer. he had a radical prostatectomy in , has also had surgery for bladder cancer, and a veins stripping in his left leg. social history: he is currently retired at this time. mr. last dental exam was in . he quit smoking nine years ago but has a 20 pack-year history. he occasionally uses alcohol. he is currently living with his brother. a motorcycle. he denies any iv drug use. family history: his brother had a myocardial infarction at age 55. physical exam: on examination, his heart rate is 95. blood pressure is 153/101 taken in the left arm. he is saturating 98% on room air. he is in no apparent distress. his skin is remarkable for multiple tattoos and a well-healed abdominal scar. his teeth are in poor repair. neck is supple with full range of motion. lungs are clear bilaterally. heart rate is in regular rate and rhythm with a grade iv/vi holosystolic murmur that radiates all the way to his axilla. abdomen is soft, nontender, and nondistended with positive bowel sounds. extremities are warm and well perfused without any peripheral edema or varicosities noted. he is neurologically grossly intact and has 2+ bilateral femoral dp, pt, and radial pulses. no carotid bruits are appreciated. pertinent results: echo pre-bypass: the left atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). 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. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is partial mitral leaflet flail. moderate to severe (3+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). there is no pericardial effusion. post-bypass: the patient is in sinus rhythm. left and right ventricular function is preserved. the aorta is intact. the mitral valve has been repaired and an annuloplasty ring has been placed. the mitral leaflets are functioning normally. there is no mr. of the examination is unchanged. 05:40am blood wbc-8.0 rbc-2.65* hgb-8.2* hct-23.4* mcv-88 mch-30.9 mchc-35.1* rdw-13.3 plt ct-232 05:40am blood glucose-120* urean-27* creat-0.7 na-136 k-4.2 cl-102 hco3-29 angap-9 brief hospital course: mr. was admitted to the on for elective surgical management of his mitral valve disease. he was taken directly to the operating room where he underwent a mitral valve repair. please see operative note for details. postoperatively he was taken to the cardiac intensive care unit for monitoring. within 24 hours, he had awoke neurologically intact and was extubated. on postoperative day one, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. his chest tubes and epicardial wires were removed. by post-operative day four he was ready for discharge to home. medications on admission: asa 162', lasix 20', lipitor 20', lisinopril 10", ambien-prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(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:*1* 3. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*2* 4. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*2* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. toprol xl 200 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: mitral regurgitation s/p mv repair htn hyperlipidemia prostate and bladder cancer discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. in 2 weeks. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension gout, unspecified personal history of malignant neoplasm of prostate personal history of tobacco use other and unspecified hyperlipidemia personal history of malignant neoplasm of bladder arthropathy, unspecified, site unspecified impotence of organic origin 

Answer: The patient is high likely exposed to