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: dyspnea on exertion major surgical or invasive procedure: - mitral valve repair with a triangular resection of the middle scallop of the posterior leaflet (p2) and mitral valve annuloplasty with a 32-mm st. medical saddle ring. history of present illness: this is a 70 year old male who presented to his pcp several months ago with complaints of weight loss and lower extremity edema. he was noted to have heart murmur and found to be in atrial fibrillation. subsequent echocardiogram revealed mitral valve prolapse with significant regurgitation, and some degree of aortic stenosis. over the last several months, his pedal edema has improved with medical therapy. he denies any history of sob at rest and chest pain but does admit to doe. his weight has remained stable for the last two months and patient/family reports that workup for weight loss(ie "scans") have been unrevealing. he reports an increase in appetite in the past month. he admits today for heparin bridge with plans for or in the am for mv repair vs replacement / ? avr / ? maze. past medical history: mitral valve prolapse/mitral regurgitation atrial fibrillation hypothyroidism alcoholism - sober for last three months, normal lfts anxiety/depression abdominal versus bilateral inguinal hernias chronic back pain social history: race:causcasian last dental exam: 1 month ago lives with: alone occupation: disabled(back injury ) tobacco: never etoh:history of alcoholism/binge drinking, quit 3 months ago family history: non-contributory physical exam: pulse: resp:12 o2 sat: 96% ra b/p right: 94/60 left: height: 5'5" weight:154 lbs general:aao x 3 in nad skin: dry intact yellow plaques on nose heent: perrla eomi left eyelid droop neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iv/vi holosystolic murmur best heard at apex abdomen: soft non-distended non-tender bowel sounds + + bilateral inguinal hernias extremities: warm , well-perfused 1+ bilateral lower extremity edema varicosities: none neuro: grossly intact intentional tremor pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 2+ left: 1+ radial right: 2+ left: 2+ carotid bruit right:none left:none pertinent results: echo: pre-bypass: the left atrium is markedly dilated. no mass/thrombus is seen in the left atrium or left atrial appendage. the right atrium is moderately dilated. a patent foramen ovale is present. left ventricular wall thicknesses are normal. overall left ventricular systolic function is mildly depressed (lvef= 45 %). the right ventricular cavity is moderately dilated with moderate global free wall hypokinesis. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are myxomatous. an eccentric, anteriorly directed jet of severe (4+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. 05:23pm blood wbc-6.3 rbc-4.29* hgb-14.1 hct-42.1 mcv-98 mch-32.9* mchc-33.5 rdw-15.2 plt ct-225 06:15am blood wbc-7.2 rbc-3.37* hgb-10.7* hct-32.1* mcv-95 mch-31.6 mchc-33.3 rdw-16.7* plt ct-267 05:23pm blood pt-19.2* ptt-32.4 inr(pt)-1.8* 06:15am blood pt-13.2 ptt-26.6 inr(pt)-1.1 05:23pm blood glucose-124* urean-17 creat-1.1 na-138 k-3.6 cl-96 hco3-31 angap-15 06:15am blood glucose-85 urean-12 creat-0.9 na-140 k-4.5 cl-105 hco3-26 angap-14 08:50pm blood alt-14 ast-44* ld(ldh)-339* alkphos-44 totbili-0.8 05:23pm blood %hba1c-5.5 brief hospital course: mr. was admitted to the on for surgical management of his mitral valve disease. heparin was started as a bridge to surgery. he was worked-up in the usual preoperative manner. as his inr was quite slow to reach a safe range for surgery, his surgery was delayed a few days. on , mr. was taken to the operating room where he underwent a mitral valve repair with a triangular resection of the middle scallop of the posterior leaflet (p2) and mitral valve annuloplasty with a 32-mm st. medical saddle ring. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. he did require inotropes post-op for hemodynamic support and were weaned off on post-op day 3. he did receive a blood transfusion for hematocrit 26%. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. chest tubes and epicardial pacing wires were removed per protocol. on post-op day four he was transferred to the telemetry floor for further care. physical therapy was consulted for assistance with post-op strength and mobility. by pod 5 the patient was found suitable for transfer to rehab. by this time the wound was healing, pain was controlled with oral analgesics, and the patient was ambulating with supervision. medications on admission: furosemide 40 mg po daily lopressor 12.5mg po daily levothyroxine 50mcg po daily zyprexa 2.5mg po daily sertraline 100mg po daily digoxin 0.25 mg po daily coumadin 5mg po daily - last dose discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. olanzapine 2.5 mg tablet sig: one (1) tablet po daily (daily). 3. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). tablet(s) 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 10. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day) as needed for afib. 11. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for afib: 200mg 2x/day x 1 week, then 200mg daily until further instructed. tablet(s) 12. warfarin 5 mg tablet sig: one (1) tablet po once a day: dose to change daily for goal inr . discharge disposition: extended care facility: center discharge diagnosis: mitral valve prolapse/mitral regurgitation atrial fibrillation hypothyroidism alcoholism - sober for last three months, normal lfts anxiety/depression abdominal versus bilateral inguinal hernias chronic back pain discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn 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: please call to schedule appointments surgeon dr. in 4 weeks primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: other iatrogenic hypotension other chronic pain mitral valve disorders congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation alcohol abuse, unspecified dysthymic disorder long-term (current) use of anticoagulants backache, unspecified inguinal hernia, without mention of obstruction or gangrene, bilateral (not specified as recurrent) cardiomegaly 

Answer: The patient is high likely exposed to