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: percocet attending: chief complaint: asymptomatic major surgical or invasive procedure: mitral valve replacement (#31 mosaic porcine), coronary artery bypass graft x 1 (svg->plv) history of present illness: 65 y/o male with known mr myocardial infarction. serial echocardiograms have shown worsening lv dimensions. referred for cardiac surgical evaluation. past medical history: coronary artery disease s/p myocardial infarction, mitral regurgitation, hypercholesterolemia, hypertension, gastroesophageal reflux disease, s/p bilateral hernia repair, right arm tendon repair, s/p appendectomy social history: retired. remote tobacco use. occasional etoh. family history: non-contributory physical exam: vs: 60 12 140/89 general: wdwn male in nad skin: unremarkable -lesions heent: eomi, perrla, ncat, op benign neck: supple, from, -jvd, -carotid bruit chest: ctab -w/r/r heart: irregular hsm at apex to axilla abd: soft, nt/nd, +bs ext: warm, well-perfused, -edema, -varicosities neuro: mae, non-focal, a&o x 3 pertinent results: echo : pre bypass: the left atrium is mildly dilated. regional left ventricular wall motion is normal, but intrinsic left ventricular systolic function is likely more depressed given the severity of valvular regurgitation. there are complex (>4mm) atheroma in the aortic arch and descending thoracic aorta. there is no aortic valve stenosis. mild to moderate (+) central aortic regurgitation is seen. moderate to severe(3+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric directed posteriorly. there appears to be some bileaflet retraction of a3 and p3, with the posterior leaflet retraction predominating. there may also be a leaflet cleft of the anterior leaflet. post bypass: normal right ventricular systolic function. lv systolic function is normal, ef = 55%. there is a bioprosthesis in the mitral position. it is well seated and displays normal leaflet function. there is trace central valvular mr and a trace perivalvular jet seen best anteriorly. there is no mitral stenosis. no other changes from pre-bypass findings. cxr : marked improvement in bibasilar atelectasis and small bilateral pleural effusions. 11:06am blood wbc-13.2*# rbc-3.76* hgb-11.4* hct-31.8* mcv-84 mch-30.4 mchc-36.0* rdw-14.2 plt ct-145* 06:00am blood wbc-11.6* rbc-3.83* hgb-11.5* hct-33.5* mcv-87 mch-30.1 mchc-34.5 rdw-15.0 plt ct-259# 11:42am blood pt-15.0* ptt-37.7* inr(pt)-1.3* 05:50am blood pt-18.4* ptt-143.4* inr(pt)-1.7* 11:42am blood urean-12 creat-0.8 cl-109* hco3-27 06:00am blood glucose-100 urean-18 creat-0.9 na-136 k-4.4 cl-100 hco3-28 angap-12 05:50am blood urean-6 creat-1.0 k-4.6 06:00am blood calcium-8.2* phos-3.5 mg-2.7* 05:55am blood wbc-11.8* rbc-4.01* hgb-11.6* hct-34.9* mcv-87 mch-28.9 mchc-33.2 rdw-14.8 plt ct-377 05:55am blood pt-25.1* ptt-97.3* inr(pt)-2.5* 05:55am blood plt ct-377 05:55am blood glucose-105 urean-21* creat-1.1 na-138 k-4.7 cl-100 hco3-28 angap-15 final report reason for examination: followup of pleural effusion in patient after mitral valve replacement. pa and lateral upright chest radiograph compared to . the heart size is normal. the sternal sutures are unremarkable. the small left and right pleural effusion has being diminished with almost complete resolution of bibasilar atelectasis. impression: marked improvement in bibasilar atelectasis and small bilateral pleural effusions. the study and the report were reviewed by the staff radiologist. dr. dr. m. approved: wed 6:10 pm procedure date: brief hospital course: mr. was a same day admit following all pre-operative work-up done as an outpatient. on he was brought to the operating room where he underwent a mitral valve replacement and coronary artery bypass graft x 1. please see operative report for surgical details. he tolerated the surgery well and was transferred to the csru for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. overnight in post-op day one he had an episode of atrial fibrillation. amiodarone was initiated. chest tubes were removed on post-op day three. on post-op day four he was transferred to the cardiac surgery telemetry floor. cardiology/ep was consulted for better management with arrythmias. he continued to convert in and out of atrial fibrillation/flutter despite conversion efforts. anticoagulation was eventually started initially with heparin until therapeutic with coumadin. epicardial pacing wires were removed. over the next several days he continued to improve despite arrythmia issues. he remained in-house until inr was therapeutic. physical therapy followed patient during entire post-op course for strength and mobility. on post-op day ten he appeared stable to go home with inr 2.5. she will be seen by vna who will draw blood tomorrow for inr monitoring by dr.. appropriate follow-up appointments also to be made by the pt. as per discharge instructions. medications on admission: protonix 40mg qd, lisinopril 5mg qd, toprol xl 50mg qd, zetia 10mg qd, aspirin 81mg , zocor 40mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 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:*0* 3. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. warfarin 1 mg tablet sig: as directed tablet po once a day: 3 mg today ; then all dosing as directed by dr. . disp:*90 tablet(s)* refills:*2* 9. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 10. potassium chloride 20 meq packet sig: one (1) po once a day for 5 days. disp:*10 * refills:*0* 11. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: gentiva/ discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 1 mitral regurgitation s/p mitral valve replacement post-operative atrial fibrillation/flutter pmh: h/o myocardial infarction, hypercholesterolemia, hypertension, gastroesophageal reflux disease, s/p bilateral hernia repair, right arm tendon repair, s/p appendectomy discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no heavy lifting or driving until follow up with surgeon. p instructions: dr. 1-2 weeks dr. in weeks dr. 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of mitral valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension atrial fibrillation mitral valve insufficiency and aortic valve insufficiency 

Answer: The patient is high likely exposed to