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: asymptomatic major surgical or invasive procedure: s/p mitral valve repair (28mm cg future ring) partial resection p2 history of present illness: 49 year old male with known mitral valve prolapse and mitral regurgitation. he remains asymptomatic but serial echocardiograms have shown worsening regurgitation with increasing left ventricular dimensions. past medical history: mitral valve prolapase mitral regurgitation depression history of elevated lfts - reportedly resolved, unknown etiology social history: occupation: health care company, info tech lives with: son, widowed - wife died four years ago tobacco: denies etoh: 1-2 drinks per night(vodka, wine, beer) family history: noncontributory physical exam: pulse: 70 o2: 98% b/p left: 131/79 height: 68 in weight: 75k general: well developed, well nourished male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur holosystolic murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 2 left: 2 pt : 2 left: 2 radial right: 2 left: 2 carotid bruit right: trans murmur left: murmur pertinent results: 07:58am hgb-12.9* calchct-39 07:58am glucose-104 lactate-1.2 na+-139 k+-3.9 cl--106 10:20am pt-14.5* ptt-28.9 inr(pt)-1.3* 10:20am wbc-12.3*# rbc-3.27*# hgb-10.4*# hct-30.2*# mcv-92 mch-31.8 mchc-34.5 rdw-13.3 05:45am blood wbc-4.3# rbc-3.09* hgb-9.9* hct-28.3* mcv-92 mch-32.0 mchc-35.0 rdw-13.2 plt ct-98* 05:45am blood glucose-106* urean-24* creat-1.0 na-136 k-4.4 cl-100 hco3-31 angap-9 echocardiography report , (complete) done at 10:40:43 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 49 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: ?mvr icd-9 codes: 440.0, 424.1, 424.0 test information date/time: at 10:40 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw1-: machine: aw2 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.2 cm <= 4.0 cm left ventricle - ejection fraction: 50% to 55% >= 55% findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. right ventricle: borderline normal rv systolic function. aorta: normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. trace ar. mitral valve: mildly thickened mitral valve leaflets. eccentric mr jet. 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. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. normal lv systolic fxn., with borderline normal free wall function. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. an eccentric anteriorly-directed jet reflects a prolapsing posterior mitral leaflet. 3-d reconstruction suggests p1-p2 prolapse. there is no pericardial effusion. post-bypass: a mitral ring annuloplasty and scallop revison has taken place. there is no mr. residual mitral mean gradient is 4. trace ai. aorta intact. good biventricular systolic fxn. other parameters as pre-bypass. , m 49 radiology report chest (portable ap) study date of 7:57 am , r. csurg csru 7:57 am chest (portable ap) clip # reason: s/p ct removal ? ptx final report findings: since the previous chest radiograph the patient has been extubated and the ng tube, and mediastinal and chest drains have been removed. swan-ganz catheter is unchanged. there are lower lung volumes, which is an expected finding post- extubation with new left lower lobe atelectasis. widening of the superior mediastinum is similar and probably due to resolving hematoma. no consolidation or pneumothorax. the patient is status post mvr with median sternotomy clips. impression: normal post-extubation findings with lower lung volumes and new left lower lobe atelectasis. no pneumothorax. the study and the report were reviewed by the staff radiologist. dr. dr. brief hospital course: admitted same day sugery and was brought to the operating room and underwent mitral valve repair. see operative report for further details. in summary had mvr with 28 ring and partial resection of p2. his bypass time was 81 minutes with a crossclamp of 56 minutes. he tolerated the operation well and was transferred post-op to the cardiac surgery icu. he received cefazolin for perioperative antibiotics. post operatively he was weaned from sedation, awoke neurologically intact and was extubated without complications. he was transferred to the floor on post operative day one. physical therapy worked with him on strength and mobility. his chest tubes and epicardial wires were removed according to protocol. he was gently diuresed toward his pre-operative weight. his lopressor was uptitrated as tolerated. by post-operative day four he was discharged to home per dr. . his follow-up appointments were advised per cardiac surgery protocol. medications on admission: aspirin 81 mg daily zoloft 50 mg daily discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 2. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. lasix 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 4. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 5. 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* 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* discharge disposition: home with service facility: vna carenet discharge diagnosis: mitral valve prolapase s/p mitral valve mitral regurgitation depression known history of elevated lfts unknown etiology discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr (cardiac surgeon) in 4 weeks () please call for appointment dr (pcp) in 1 week () please call for appointment dr (cardiology) in weeks - please call for appointment wound check in 2 weeks on 6 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders unspecified pleural effusion depressive disorder, not elsewhere classified 

Answer: The patient is high likely exposed to