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: lipitor attending: chief complaint: dyspnea major surgical or invasive procedure: aortic valve replacement (27mm) history of present illness: 70 year old male with severe aortic stenosis presents with increased dyspnea on exertion x 1 week. he does report one episode of chest pain which lasted "just a second". has baseline leg swelling but unchanged from prior. he called his cardiologist who increased his lasix to 80mg (40mg ). patient initialy reported to hospital. he was then transferred to given cardiologist dr. is here. he is now being referred to cardiac surgery for evaluation of an aortic valve replacement. past medical history: s/p biv pacemaker placement in severe as (last valve area 0.9 ) d/m s/p bilateral forefoot amps 15yrs s/p renal transplant (on immunosuppresants) coronary artery disease status post lad and d1 stent in . mixed cardiomyopathy with severe global hypokinesis and ejection fraction of 25%. mild-to-moderate aortic stenosis. paroxysmal atrial fibrillation not anticoagulated. hypertension. hypercholesterolemia moderate pa hypertension type 1 diabetes. status post renal transplant, on chronic immunosuppression peripheral vascular disease with bilateral transmetatarsal amputation. history of dvt. dm1 peripheral neuropathy social history: the patient is divorced with a healthy 40-year-old son. is currently living alone, reports having a good social support network. denies smoking and endorses drinking one glass of wine per week. denies a history of abuse. family history: mother died from breast cancer at age 47. father with dm at age 70. physical exam: pulse:80 resp:18 o2 sat:95/ra b/p 117/74 height:76" weight:100.9 kgs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally , crackles at the bases heart: rrr irregular murmur grade iv/vi, systolic murmur abdomen: soft non-distended non-tender bowel sounds + , well healed right lower quadrant incision extremities: warm , well-perfused edema 1+ edema bilaterally varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: dop left: dop pt : dop left: dop radial right: 2+ left: 2+ carotid bruit right: none left: none pertinent results: echocardiography report , portable tte (focused views) done at 9:56:00 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 70 m hgt (in): 76 bp (mm hg): 93/45 wgt (lb): 224 hr (bpm): 94 bsa (m2): 2.33 m2 indication: congestive heart failure. h/o cardiac surgery. left ventricular function. right ventricular function. valvular heart disease. icd-9 codes: 428.0, v43.3, 424.1, 424.0 test information date/time: at 09:56 interpret md: , md test type: portable tte (focused views) son: cardiology fellow doppler: limited doppler and color doppler test location: west sicu/ctic/vicu contrast: none tech quality: suboptimal tape #: 2012w000-0:00 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.4 cm <= 4.0 cm left ventricle - septal wall thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *6.0 cm <= 5.6 cm left ventricle - ejection fraction: 25% >= 55% right ventricle - diastolic diameter: *4.6 cm <= 2.1 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm tr gradient (+ ra = pasp): *34 mm hg <= 25 mm hg findings left atrium: mild la enlargement. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. left ventricle: mild symmetric lvh. moderately dilated lv cavity. moderate-severe global left ventricular hypokinesis. right ventricle: mildly dilated rv cavity. moderate global rv free wall hypokinesis. abnormal septal motion/position. aortic valve: aortic valve not well seen. bioprosthetic aortic valve prosthesis (avr). no ar. mitral valve: moderately thickened mitral valve leaflets. moderate mitral annular calcification. trivial mr. tricuspid valve: tricuspid valve not well visualized. tr present - cannot be quantified. mild pa systolic hypertension. pulmonic valve/pulmonary artery: pulmonic valve not well seen. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor echo windows. the rhythm appears to be atrial fibrillation. the rhythm appears to be a-v paced. the patient has runs of a supraventricular tachycardia. emergency study performed by the cardiology fellow the patient. left pleural effusion. conclusions the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is moderately dilated with moderate to severe global left ventricular hypokinesis (lvef = 25%). the right ventricular cavity is mildly dilated with moderate global free wall hypokinesis. there is abnormal septal motion/position. a well-seated bioprosthetic aortic valve prosthesis is present. the gradients could not be assessed. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is moderate mitral annular calcification (vs. annuloplasty ring). trivial mitral regurgitation is seen. tricuspid regurgitation is present but cannot be quantified. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: suboptimal image quality. well seated aortic valve bioprosthesis without aortic regurgitation.. biventricular cavity enlargement with biventricular hypokinesis c/w diffuse process. compared with the prior study (images reviewed) of , biventricular systolic function is slightly improved and the estimated pa systolic pressure is higher. 04:32am blood wbc-22.0* rbc-3.26* hgb-9.1* hct-27.9* mcv-86 mch-27.8 mchc-32.4 rdw-16.2* plt ct-27* 04:32am blood pt-46.9* ptt-49.4* inr(pt)-4.6* 04:32am blood glucose-145* urean-86* creat-3.2* na-129* k-5.6* cl-93* hco3-19* angap-23* brief hospital course: on mr. was admitted for pre-hydration for a planned cardiac catheterization prior to a planned mitral valve replacement. he underwent a pre-operative work-up. his cardiac catheterization revealed no significant coronary disease. on he underwent an aortic valve replacement with a st. tissue valve. this procedure was performed by dr. . please see the operative note for details. he tolerated this procedure well and was transferred in critical but stable condition to the surgical intensive care unit. he extubated sucessfully. on post-operative day three he experienced rapid atrial fibrillation with hemodynamic instability. he was cardioverted unsuccessfully multiple times. he also experienced ventricular tachycardia and was defibrillated sucessfully. multiple pressors were required and an intra-aortic balloon pump was placed to support hemodynamics. he developed multi-system organ failure. the attending surgeon, dr. , spoke with the patient's brother and proxy regarding his poor prognosis. after deliberation amongst the family, it was decided to withdraw care. he was made comfort measures only and expired in the presence of his family at 1809 and was pronounced by dr. . the family declined a post-mortem examination. medications on admission: cyclosporine 50mg flonase 50mcg,2 puff daily lasix 40mg daily, recently increased to 40 gabapentin 800 1 qam, 1 a4pm. 3 tabs qhs. lantus iss metolazone 2.5mg three times a week metop succ 50 midodrine 15mg cellcept 500mg oxycodone-acetaminophen 5-325, 1-2 tabs q 6hr prns pravastatin 40mg prednisone 5mg quinine 324mg testosterone 75mg asa 81 calcitriol 0.25mcg glucoten multivitamin discharge medications: none discharge disposition: expired discharge diagnosis: severe aortic stenosis discharge condition: expired discharge instructions: none followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters enteral infusion of concentrated nutritional substances hemodialysis other electric countershock of heart venous catheterization for renal dialysis thoracentesis open and other replacement of aortic valve with tissue graft implant of pulsation balloon pulmonary artery wedge monitoring cardiopulmonary resuscitation, not otherwise specified diagnoses: pneumonia, organism unspecified other primary cardiomyopathies acidosis hyperpotassemia thrombocytopenia, unspecified nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia unspecified septicemia hyposmolality and/or hyponatremia severe sepsis atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia acute respiratory failure cardiac arrest cardiogenic shock chronic systolic heart failure ventricular fibrillation cardiac pacemaker in situ personal history of venous thrombosis and embolism surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation examination of participant in clinical trial complications of transplanted kidney diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled ulcer of heel and midfoot foot amputation status 

Answer: The patient is high likely exposed to