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: penicillins attending: chief complaint: doe major surgical or invasive procedure: three vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending with vein grafts to diagonal and obtuse marginal) and mitral valve replacement utilizing a 33 millimeter mosaic porcine valve. history of present illness: 55 yo m with doe starting in early and progressing over the month. cath at with 3vd and 3+mr, transferred for cabg/mvr. past medical history: cardiomyopathy mr cad t&a social history: married, lives with spouse works full time as salesman no etoh, no tob physical exam: on admission neuro grossly intact lungs cta bilat rrr 2/6 systolic murmur abdomen benign pertinent results: 06:50am blood wbc-9.8 rbc-4.02* hgb-11.4* hct-34.0* mcv-85 mch-28.4 mchc-33.6 rdw-14.4 plt ct-420 06:50am blood pt-14.4* ptt-41.3* inr(pt)-1.3* 06:50am blood glucose-124* urean-25* creat-1.1 na-135 k-4.8 cl-100 hco3-26 angap-14 brief hospital course: mr. was transferred from mwmc for consideration of cabg/mvr. he was seen in consultation by heart failure who recommended echocardiogram, pulmonary consult for ? of sarcoidosis seen on chest ct, diuresis and cardiac mri if able. he received a pa catheter on . he was seen in consultation by pulmonology for his ? of sarcoid who recommended follow up ct scan after he was diuresed. he was cleared for surgery by dentistry. he was taken to the operating room on where he underwent a cabg x 3 and mitral valve replacement with a 33mm mosaic porcine valve. he was transferred to the sicu in critical but stable condition on milrinone, epinephrine, phenylephrine and propofol. his epi and neo were weaned off by pod #1. he was extubated on pod #1. his milrinone was slowly weaned over the next several days and was turned off on pod #6. his pa cath was dc'd and he was transferred to the floor. he was ready for discharge home on pod #7.he will follow up with his pulmonologist in 4 weeks with a ct scan. medications on admission: coreg, lisinopril, asa discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease, cardiomyopathy, congestive heart failure, mitral regurgitation - s/p cabg and mvr discharge condition: good. discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: dr. 4-5 weeks dr. 2-3 weeks dr. (pulmonologist) with ct scan chest in 1 month procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart pulmonary artery wedge monitoring open and other replacement of mitral valve with tissue graft diagnoses: acidosis coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified sarcoidosis systolic heart failure, unspecified other specified forms of chronic ischemic heart disease unspecified disease of pericardium lung involvement in other diseases classified elsewhere 

Answer: The patient is high likely exposed to