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: percocet attending: chief complaint: syncope major surgical or invasive procedure: aortic valve replacement ( epic porcine) history of present illness: 64-year-old male with severe as by echo, mild-moderate mr, hyperlipidemia, diabetes, 1-vessel cad s/p pci in with stenting of distal rca with two cypher des, stenting of mid rca with des, who had syncope today while shoveling snow. he also had associated bilateral arm discomfort, lightheadedness, nauseated, and vomiting. he passed out while walking up the steps and hit his nose in the process and was a little difficult to arouse. he went to and was admitted for a syncope evaluation. he is being followed for aortic stenosis for the past several years with echo with of 0.6 cm2 in . in the past 4-5 months, he endorses feeling "winded" climbing one flight of , which is new for him. patient was also noted to develop temperature of 102-103 with leukocytosis. at osh with ekg taken for what appeared to be questionable seizure vs. rigors vs. hypoglycemia. ekg showed some st downsloping and segments and depressions with question of rate-related versus ischemic. he also had headache, nausea, and some vomiting. cxr was "clear." he developed some chest pain requiring nitroglycerin with good effect. he also developed hypoxemia requiring supplemental o2. cxr subsequently showed pneumonia, which had appeared since admission cxr. he was moved to the icu until his transfer to . he also had elevated troponins with initial set 0.06 with rise to 0.28. he was diagnosed with aspiration pneumonitis. treated and it was determined that his lungs should get time to completely clear as well as undergoing a plavix washout. discharged . referred for surgery. past medical history: iron deficiency anemia (recent hct around 30) with egd in showing moderate gastritis. last colonoscopy in with only hemorrhoids. s/p excision for squamous cell carcionoma on face, right antecubital fossa, right arm and head diabetes (a1c in of 6.9 %). plantar fascitis aspiration pneumonitis prior heavy etoh, quit 38 years ago aortic stenosis s/p avr cad- s/p ptca and des of distal rca nstemi past surgical history: hernia repair ankle surgery thumb surgery for dislocation social history: (-) cigs: quit 25 years ago -etoh: prior heavy etoh, quit 38 years ago -illicit drugs: none married, retired firefighter. family history: strong family history of mi (uncle died at age 58 from mi, dad died at age 64 from chf/mi). physical exam: pulse:84 resp:24 o2 sat:98/ra b/p right:128/65 left:133/68 height:5'" weight:184 lbs general: skin: dry intact heent: perrla eomi mmm, normal oropharynx neck: supple full rom , no jvd chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 sem abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact, mae-follows commands, non focal exam pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : - left: 2+ carotid bruit : no pertinent results: 04:30am blood wbc-9.9 rbc-3.38* hgb-10.3* hct-29.4* mcv-87 mch-30.5 mchc-35.0 rdw-14.3 plt ct-385 04:30am blood urean-30* creat-0.9 na-136 k-4.8 cl-99 04:30am blood mg-2.0 conclusions pre bypass the left atrium is markedly dilated. mild spontaneous echo contrast is seen in the body of the left atrium and left atrial appendage. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is moderate to severe aortic valve stenosis (valve area 1.1 cm2). moderate (2+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric, directed toward the anterior mitral leaflet. the mitral valve leaflets are moderately thickened. due to co-existing aortic regurgitation, the pressure half-time estimate of mitral valve area may be an overestimation of true mitral valve area. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is being atrially paced. there is normal biventricular systolic function. there is a bioprosthesis in the aortic position. it appears well seated. the leaflets cannot be seen. no aortic regurgitation is seen. the maximum gradient through the valve was 27 mmhg with a mean of 16 mmhg at a cardiac output of about 5.5 liters/minute. the effective orifice area of the valve was about 1.8 cm2. the mitral regurgitation is now trivial. the thoracic aorta is intact after decannulation. no other significant changes from the pre-bypass exam. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 18:51 brief hospital course: admitted and underwent avr with dr. . transferred to the cvicu in stable condition on titrated phenylephrine and propofol drips. extubated the next morning and remained in the icu for bp mgmt. transferred to the floor on pod #2 to begin increasing his activity level. chest tubes and pacing wires removed per protocol. gently diuresed toward his preop weight. continued to make good progress and was cleared for discharge to home with vna on pod #4. all f/u appts were advised. medications on admission: 1. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 2. avandia 4 mg tablet sig: one (1) tablet po once a day. 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. glucophage 1,000 mg tablet sig: one (1) tablet po twice a day. 5. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 6. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day: constipation. disp:*60 capsule(s)* refills:*2* 8. senna 8.6 mg capsule sig: one (1) capsule po twice a day: constipation. disp:*60 capsule(s)* refills:*2* 9. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po three times a day: with meals. disp:*90 tablet(s)* refills:*2* 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day for 4 weeks. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 11. aspirin 325 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 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. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400 mg twice a day until then decrease to 400 mg once a day until then decrease to 200 mg daily until follow up with cardiologist . disp:*55 tablet(s)* refills:*0* 6. metformin 1,000 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*0* 9. rosiglitazone 4 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day): 75 mg three times a day . disp:*270 tablet(s)* refills:*0* 11. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 13. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: aortic stenosis s/p avr iron deficiency anemia diabetes mellitus type 2 coronary artery disease s/p ptca and des of distal rca nstemi squamous cell ca prior etoh abuse discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram incisions: sternal - healing well, no erythema or drainage - dermabond intact edema - trace bilateral lower extremities discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr 1:00 pm please call to schedule appointments with your primary care dr in weeks cardiologist: dr in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortic valve disorders percutaneous transluminal coronary angioplasty status iron deficiency anemia, unspecified subendocardial infarction, subsequent episode of care 

Answer: The patient is high likely exposed to