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 known allergies / adverse drug reactions attending: chief complaint: shortness of breath in the past major surgical or invasive procedure: - bentall procedure (27mm aortic valved conduit) history of present illness: 49 year old male with a presented in with orthopnea and a 30 pound weight gain with le edema and abdominal distention. initially he was successfully diuresed with hctz, but had a re-accumulation of fluid several weeks later. he has since been put on toprol, lasix 80mg daily and lisinopril with excellent diuresis. echocardiogram on has revealed an lvef of 35-40%, a bicuspid aortic valve with moderate aortic regurgitation and a significantly dilated aorta. he was referred for cardiac catheterization and surgical evaluation. past medical history: hypertension bicuspid aortic valve with aortic insuffiency newly diagnosed cardiomyopathy, lvef 35-40% markedly dilated aorta ? sleep apnea (never had formal sleep study) social history: last dental exam:6 months ago, he will contact his dentist and have dental clearance faxed to office lives with:wife contact: (wife) occupation:works in sales cigarettes: smoked no yes hx:smoked for 10 years and quit 12 years ago other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: family history:premature coronary artery disease- father had valve replacement. brother had an mi in his early 40's. older brother with pacemaker in his early 50's physical exam: pulse:95 resp:18 o2 sat:98/ra b/p right:141/65 left:152/85 height:6' weight:298 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema-none varicosities: none neuro: grossly intact nonfocal exam pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : left: radial right: 2+ left: 2+ carotid bruit none right: 2+ left: 2+ pertinent results: 07:15am blood wbc-12.6* rbc-4.13* hgb-8.8* hct-28.3* mcv-68* mch-21.2* mchc-31.1 rdw-15.0 plt ct-104* 04:20am blood pt-30.7* inr(pt)-3.0* 07:15am blood glucose-93 urean-31* creat-1.0 na-133 k-4.3 cl-96 hco3-29 angap-12 05:00am blood alt-17 ast-50* ld(ldh)-381* alkphos-45 amylase-13 totbili-1.3 , a m 49 radiology report chest (portable ap) study date of 9:09 am , r. csurg csru 9:09 am chest (portable ap) clip # reason: ct removed final report reason for examination: removed chest tube. ap radiograph of the chest was reviewed in comparison to . the swan-ganz catheter has been removed. aortic valve is in place. cardiomegaly is unchanged as well as mediastinal contour. no interval development of pneumothorax is seen. there is no evidence of pulmonary edema. left retrocardiac opacity, although frequent at that type of the post-surgical assessment, should be closely followed to exclude the possibility of developing infection. dr. approved: sat 3:21 pm brief hospital course: mr. was admitted to the on for surgical management of his aortic disease. he was taken to the operating room where he underwent a bentall procedure using a 27mm st. aortic valved conduit. please see operative note for details. blood products were used intraoperatively to correct a coagulopathy. postopertively he was taken to the intensive care unit for monitoring. over the next several hours, he awoke neurologically intact and was extubated. the chest tubes and epicardial pacing wires were discontinued on pod#2 and he was transferred to the floor. he was anticoagulated with coumdadin and was theraputic with an inr on 3.0 on pod#4. he was discharged to home in stable condition on pod#4. i spoke with dr. nurse to have the patient's coumadin management followed. medications on admission: furosemide 40 mg lisinopril 10 mg daily metoprolol succinate 25 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 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. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po daily (daily). disp:*60 tablet extended release(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: hypertension bicuspid aortic valve with aortic insuffiency newly diagnosed cardiomyopathy, lvef 35-40% markedly dilated aorta ? sleep apnea (never had formal sleep study) discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage discharge instructions: 1) please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns *females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: provider: care nurse phone: date/time: 10:45 provider: , md phone: date/time: 1:30 cardiologist: dr. @ 8am. please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin for mechanical valve goal inr 2.5-3.5 first draw results to phone: dr. procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve resection of vessel with replacement, thoracic vessels diagnoses: other primary cardiomyopathies acidosis other iatrogenic hypotension unspecified essential hypertension thoracic aneurysm without mention of rupture personal history of tobacco use hypotension, unspecified unspecified sleep apnea family history of ischemic heart disease abdominal aneurysm without mention of rupture congenital insufficiency of aortic valve other and unspecified coagulation defects acute respiratory failure following trauma and surgery 

Answer: The patient is high likely exposed to