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: mitral and tricuspid valve regurgitation major surgical or invasive procedure: - mitral valve repair(34mm ring),tricuspid valve repair(32mm ring). history of present illness: this 47 year old white male has known mitral valve prolapse. he has been followed by for the past two years. the patient has been asymptomatic until recently. he has recently developed new atrial fibrillation. he was admitted for elective valve repair or replacement. past medical history: mitral valve prolapse asthma nasal polyps- s/p surgical excision basal cell carcinoma social history: race: caucasian last dental exam: last week- dentist will fax clearance lives with:alone. contact person upon discharge: (sister). her cell phone # is . occupation:marketing. tobacco: etoh: glasses wine/week and denies illicit drug use. family history: non-contributory physical exam: admisssion: pulse: 80s irregularly irregular resp: 18 o2 sat: b/p right: left: ht: 5 feet 9 inches wt: 153 lbs general: skin: dry intact heent: perrl eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 systolic murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits appreciated pertinent results: echo pre-bypass: the left atrium is markedly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. the right atrium is markedly dilated. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is low normal (lvef 50-55%). the right ventricular cavity is mildly dilated with normal free wall contractility. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque to 40 cm from the incisors. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are myxomatous with posterior leaflet prolapse and partial flail. an eccentric, anteriorly directed jet of severe (4+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). moderate tricuspid regurgitation is seen. there is no pericardial effusion. 04:44pm blood wbc-22.9*# rbc-3.17*# hgb-9.9*# hct-28.2*# mcv-89 mch-31.1 mchc-35.0 rdw-13.4 plt ct-168 02:38am blood wbc-11.5* rbc-2.94* hgb-9.4* hct-26.0* mcv-88 mch-31.9 mchc-36.1* rdw-13.2 plt ct-102* 05:12pm blood urean-15 creat-0.9 cl-111* hco3-22 06:45am blood urean-14 creat-0.8 k-4.4 05:20am blood wbc-9.0 rbc-2.83* hgb-8.3* hct-24.9* mcv-88 mch-29.4 mchc-33.5 rdw-13.2 plt ct-355 05:20am blood pt-25.5* ptt-114.6* inr(pt)-2.5* 05:20am blood glucose-91 urean-9 creat-0.8 na-137 k-4.2 cl-101 hco3-28 angap-12 brief hospital course: mr. was admitted to the on for surgical management of his mitral and tricuspid valve disease. he was taken directly to the operating room where he underwent mitral and tricuspid valve repair. please see operative note for details. he weaned from bypass on low dose epinephrine and neo synephrine and propofol infusions. postoperatively he was taken to the intensive care unit for monitoring. over the next several hours, he awoke neurologically intact and was extubated. pressors were weaned as he became hypertensive. 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. he developed rate controlled atrial flutter in the 50s and amiodarone and lopressor were discontinued. chest tubes and pacing wires were discontinued. follow up cxr revealed small apical pneumothorax on the left. coumadin was started for atrial flutter. the patient became increasingly bradycardic into the 40s and ep was consulted. anticoagulation was continued and the patient will be discharged on of hearts monitor with plans to follow up with dr. as an outpatient.arrangements for coumadin/inr follow up were made with dr nurse, . pod# 7 dr. cleared mr. for discharge to home. medications on admission: amoxicillin - 1000 mg prior to dental work lisinopril - 10 mg qday metoprolol tartrate - 50 mg warfarin - 3 mg at bedtime, patient has not started this medication *pt has never taken coumadin as of * discharge medications: 1. outpatient lab work serial pt/inr dx: atrial fibrillation goal inr 2-2.5 results to dr. ( , rn) 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:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. warfarin 5 mg tablet sig: one (1) tablet po once (once) for 1 doses. disp:*1 tablet(s)* refills:*0* 6. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). disp:*1 1* refills:*2* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 9. zofran 4 mg tablet sig: one (1) tablet po every 4-6 hours as needed for nausea for 10 doses. disp:*10 tablet(s)* refills:*0* 10. warfarin 2.5 mg tablet sig: md to order tablet po once a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: mitral valve prolapse asthma nasal polyps -s/p surgical excision basal cell carcinoma discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with tylenol 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 please call with any questions or concerns followup instructions: surgeon dr. in 4 weeks primary care dr. in weeks (please call for appointment cardiologist dr. in weeks-please call for appointment wound check appointment - 6 () - your nurse will schedule dr. will follow coumadin/inr- please call results to , rn * of heart monitor with daily transmission called into dr., arranged on discharge. dr. (electrophysiology)follow up in 1 month: # procedure: extracorporeal circulation auxiliary to open heart surgery annuloplasty open heart valvuloplasty of mitral valve without replacement diagnoses: thrombocytopenia, unspecified anemia, unspecified mitral valve disorders cardiac complications, not elsewhere classified atrial fibrillation asthma, unspecified type, unspecified atrial flutter paroxysmal ventricular tachycardia nausea with vomiting atrioventricular block, complete personal history of other malignant neoplasm of skin iatrogenic pneumothorax other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other postprocedural status diseases of tricuspid valve rupture of chordae tendineae 

Answer: The patient is high likely exposed to