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: iodine; iodine containing attending: chief complaint: exertional chest pain and shortness of breath major surgical or invasive procedure: aortic valve replacement(21 st. epic porcine valve) and single vessel coronary artery bypass grafting utilizing the left internal mammary artery to lad. history of present illness: mr. is a 74 year old male with history of known aortic stenosis and coronary artery disease. serial echocardiograms have shown progression of aortic valve gradients. most recent echo from revealed ef 70% with mean aortic gradient of 50mmhg. over the last several months, he admits to worsening exertional chest discomfort and dyspnea on exertion. he has no history of syncope. recent cardiac catheterization from showed a right dominant system and three vessel coronary artery disease. he underwent routine preoperative evaluation and was eventually cleared for surgery. past medical history: coronary artery disease aortic valve stenosis hypertension elevated cholesterol chronic renal insufficiency type ii diabetes mellitus history of gout history of kidney stones - prior lithotripsy polypectomy tonsillectomy hemrrhoidectomy social history: quit tobacco over 50 years ago. admits to occasional etoh. he is married. he is a retired construction worker. family history: brother died of mi in his early 50's. physical exam: vitals: 120/64, 68, 16 general: wdwn male in no acute distress heent: oropharynx benign, eomi. + rhinophyma neck: supple, no jvd. some soft tissue fullness in supraclavicular area lungs: cta bilaterally heart: regular rate and rhythm. 3/6 systolic ejectiom murmur abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally. transmitted murmur in carotid region. neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted pertinent results: intraop tee: pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the ascending aorta. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is no pericardial effusion. post-bypass: preserved biventricular systolic function and it is normal. preserved ascending aortic contour. mild to moderate mitral regurgitation. a bioprosthesis is seen in the native aortic valve position, stable and functioning well with a mean gradient of 10mm of hg. chest (pa & lat) there is slightly better aeration of the lungs since the prior study. there is a small left pleural effusion and there is very minimal left lower lobe atelectasis. the right lung is clear. cardiomediastinal silhouette is unremarkable. status post median sternotomy. impression: improved aeration of the left lung. small left pleural effusion, minimal left lower lobe atelectasis. wbc-12.0* rbc-3.02*# hgb-9.7*# hct-27.6*# plt ct-143* wbc-14.5* rbc-3.81* hgb-12.2* hct-35.4* plt ct-129* urean-25* creat-1.1 cl-114* hco3-25 glucose-117* urean-19 creat-1.1 na-136 k-4.1 cl-100 hco3-31 brief hospital course: mr. was admitted and underwent aortic valve replacement and coronary artery bypass grafting surgery. for surgical details, please see separate dictated operative note. following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, he was transferred to the step down unit for monitoring. mr. was gently diuresed towards his preoperative weight. he was restarted on his preoperative medications. tolerated a regular diet and had good pain control with po pain medications. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he continued to make steady progress and was discharged to home on pod #4. he will follow-up with dr. as an outpatient. medications on admission: allopurinol 100 , norvasc 5 qd, lipitor 80 qd, zetia 10 qd, tricor 145 qd, lasix 20 qd, gabapentin 300 qd, glipizide 2.5 am/1.25 pm, imdur 60 qd, lopressor 50 , kcl, diovan 160 qd, aspirin 325 qd discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. fenofibrate micronized 145 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 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. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed. disp:*50 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 8. allopurinol 100 mg tablet sig: one (1) tablet po twice a day. 9. lasix 40 mg tablet sig: one (1) tablet po once a day for 5 days: then 20 mg daily previous home dose. disp:*5 tablet(s)* refills:*0* 10. potassium chloride 10 meq tablet sustained release sig: one (1) tablet sustained release po once a day for 5 days. disp:*5 tablet sustained release(s)* refills:*0* 11. diovan 160 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 12. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po qam: 0.5 mg qpm. 13. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, aortic valve stenosis - s/p avr/cabg hypertension elevated cholesterol chronic renal insufficiency type ii diabetes mellitus lung nodule discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: 1)dr. in weeks, call for appt 2)dr. in weeks, call for appt 3)cat scan phone: date/time: 11:30 am . nothing to eat or drink for 3 hours prior to scan. arrive by 11:00 am. for lung nodule follow up. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart cardioplegia arterial catheterization open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of aorta hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified aortic valve disorders chronic kidney disease, unspecified other diseases of lung, not elsewhere classified examination of participant in clinical trial 

Answer: The patient is high likely exposed to