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: palpitations major surgical or invasive procedure: mvr (33 mm mosaic porcine valve) history of present illness: 33 yo male with mitral valve prolapse followed by serial echos over the past 5 years. they have revealed worsening mr , now 3+, with ef 65%, and forward ef 39%.he has had increased episodes of palpitations. referred for surgical eval. past medical history: mvp wisdom teeth extraction nsvtach social history: lives with wife and 2 children no tobacco use occasional etoh use no ivda family history: father died at 55 of unknown cause physical exam: 73" 175# no skin lesions nc/at, eomi, perrla no jvd or carotid bruits ctab rrr 2/6 murmur soft, nt, nd, + bs war extrems, no edema alert and oriented x 3 2+ bil. fem/ dp/pt/radials discharge general 98.1, 100 sr, 142/79, 20, 97 ra sat wt 84.2 kg neuro a/o x3 pulm cta bilat card rrr no m/r/g sternal inc healing no erythema/drainage sternum stable, steris abd soft, nt, nd +bs pertinent results: 06:40am blood wbc-5.6 rbc-3.01* hgb-9.3* hct-27.6* mcv-92 mch-31.0 mchc-33.8 rdw-13.2 plt ct-258# 12:14pm blood wbc-14.5*# rbc-3.27*# hgb-10.4*# hct-28.7*# mcv-88 mch-32.0 mchc-36.4* rdw-12.7 plt ct-60*# 06:40am blood plt ct-258# 12:14pm blood plt smr-very low plt ct-60*# 12:14pm blood pt-17.0* ptt-34.2 inr(pt)-1.6* 12:14pm blood fibrino-114* 06:40am blood glucose-97 urean-10 creat-0.8 na-141 k-4.0 cl-103 hco3-30 angap-12 06:40am blood calcium-8.9 phos-4.0 mg-2.2 03:03am blood mg-1.5* 03:19am blood type-art po2-117* pco2-48* ph-7.38 caltco2-29 base xs-2 cxr chest (pa & lat) 9:43 am chest (pa & lat) reason: evaluate rt pneumo s/p ct removal medical condition: 33 year old man s/p mvr reason for this examination: evaluate rt pneumo s/p ct removal examination: pa and lateral chest. indication: status post chest tube removal. two views of the chest are obtained on and are compared with the prior day's radiograph. the right-sided pneumothorax appears to have decreased in the interim. there is a small amount of fluid or subsegmental atelectasis at the right base. the left pleural effusion is unchanged. no other acute changes are noted since the prior day's radiograph. impression: decrease in the right-sided pneumothorax. bilateral pleural effusions, more marked on the left side. dr. approved: sun 1:53 pm echo patient/test information: indication: mvr status: inpatient date/time: at 08:57 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw01-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left ventricle - ejection fraction: 50% to 55% (nl >=55%) interpretation: findings: left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thicknesses and cavity size. lv wall motion: basal anterior - normal; mid anterior - normal; basal anteroseptal - normal; mid anteroseptal - normal; basal inferoseptal - normal; mid inferoseptal - normal; basal inferior - normal; mid inferior - normal; basal inferolateral - normal; mid inferolateral - normal; basal anterolateral - normal; mid anterolateral - normal; anterior apex - normal; septal apex - normal; inferior apex - normal; lateral apex - normal; apex - normal; right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: moderately thickened mitral valve leaflets. moderate to severe (3+) mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient was under general anesthesia throughout the procedure. conclusions: pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. left ventricular wall thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are moderately thickened. moderate to severe (3+) mitral regurgitation is seen. the posterior leaflet is flail at all scallops. the anterior leaflet is very redundant and balloons well into the la.there is no pericardial effusion. post bypass: a well-seated and functioning mitral prosthesis is seen. no leak. no mr. as pre-bypass, including an intact aorta and preserved biventricular systolic fxn. electronically signed by , md on 09:11. physician: brief hospital course: admitted and underwent mvr with dr.. transferred to the csru in stable condition. extubated that evening and weaned off pressors. transferred to the floor the next day to begin increasing his activity level.beta blockade titrated and gentle diuresis started. chest tubes removed pod #2. pacing wires removed on pod #4. recurrence of brief nsvt on . evaluation done by ep dr. . pt. to follow up with dr. in weeks as outpt. per dr. and discharge home of hearts monitoring with dr following. cleared for discharge to home with services on pod #6. pt. to make all follow-up appts. as per discharge instructions. medications on admission: toprol xl 50 mg daily 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 3. 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* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 5. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 1 weeks: for one week, then as needed. disp:*30 tablet(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*0* 9. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: s/p mvr mvp nsvt discharge condition: good discharge instructions: may shower over incisions and pat dry no lotions, creams or powders on any incision no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater 100.5, redness or drainage followup instructions: see dr. in weeks see dr. in weeks in clinic see dr. in the office in 4 weeks please call to make all appointments of hearts monitor with dr following procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of mitral valve with tissue graft diagnoses: mitral valve disorders cardiac complications, not elsewhere classified paroxysmal ventricular tachycardia iatrogenic pneumothorax 

Answer: The patient is high likely exposed to