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: history of present illness: this 65 year old, white male has a longstanding history of mitral valve prolapse which was diagnosed as a teenager. he was admitted to on with cough and dyspnea starting three weeks prior to presentation and was found to be in new rapid atrial fibrillation. he also had congestive heart failure and a question of pneumonia which ceftriaxone and zithromax. an echo on revealed severe mitral regurgitation. blood cultures were negative and the patient was transferred to for further management. past medical history: significant for a history of mitral valve prolapse. history of gout. history of tinnitus. history of basal cell ca. medications on admission: 1. allopurinol 300 mg p.o. q day at home. 2. he was started in the hospital on a heparin drip. 3. lasix 20 mg p.o. b.i.d. 4. lisinopril 2.5 mg p.o. q. day. 5. diltiazem xl 240 mg p.o. q day. 6. albuterol and 7. atrovent nebs. 8. protonix 40 mg p.o. q. day. 9. ceftriaxone one gram q day. 10. zithromax 250 mg p.o. q. day. family history: family history is significant for coronary artery disease. social history: he does not smoke cigarettes and has rare alcohol use. review of systems: as above. physical examination: he is a well-developed, white male, in no apparent distress. vital signs stable. afebrile. head, eyes, ears, nose and throat: normal cephalic, atraumatic. extraocular movements intact. oropharynx benign. neck is supple, full range of motion. no lymphadenopathy or thyromegaly. carotids were 2 plus and equal bilaterally with radiating murmurs. lungs: bibasilar crackles, left greater than right. cardiovascular examination: holosystolic murmur which radiated to the axilla. abdomen was soft and nontender with positive bowel sounds, no masses or hepatosplenomegaly. extremities were without cyanosis, clubbing or edema. neurologic examination: nonfocal. his echo on at the outside hospital showed left atrial enlargement, right atrial enlargement, lvef of 65 percent, bileaflet mitral valve prolapse with severe mr mitral leaflet and ruptured chordae. hospital course: he was admitted and seen by cardiology who got a transesophageal echocardiogram and increased his captopril, started him on lasix. he had a transesophageal echocardiogram which showed thickened myxomatous mitral leaflets, mitral leaflets and normal ejection fraction. on , he underwent a cardiac catheterization which revealed an ef of 60 percent, normal wall motion, 4+ mitral regurgitation and normal coronary arteries. dr. was consulted and on , the patient underwent a mitral valve replacement with a 31 mm st. jude valve and a maze procedure. he was transferred to the csru on epinephrine and neo-synephrine and propofol. he was extubated on his postoperative night and had some bleeding requiring two doses of protamine. he was transferred to the floor on postoperative day number one and starter on p.o. amio for his maze procedure. he had his wires and chest tubes discontinued on postop day number two and was started on coumadin. he continued to progress. on postoperative day number six, he was discharged to home in stable condition. laboratory data: on discharge, hematocrit was 28, white count 11,800, platelets 303,000. pt 18.8; ptt 67.8. inr 2.2. his sodium was 130; potassium of 4.2; chloride 92; c02 30, bun 19, creatinine 1.1, blood sugar 117. medications on discharge: 1. lopressor 50 mg p.o. b.i.d. 2. potassium 20 meq p.o. twice a day for 7 days. 3. colace 100 mg p.o. b.i.d. 4. aspirin 81 mg p.o. q.d. 5. percocet one to two every four to six hours prn for pain. 6. allopurinol 300 mg p.o. q. day. 7. amiodarone 400 mg p.o. q. day for 7 days and then decrease to 200 mg p.o. q. day. 8. lasix 20 mg p.o. q. day for seven days. 9. coumadin 7.5 mg p.o. q. day, to be followed by dr. . the patient will have coags on monday, wednesday and friday and his coumadin will be adjusted appropriately for an inr goal of 3 to 3.5. . discharge diagnoses: mitral valve prolapse. mitral regurgitation. atrial fibrillation. gout. follow up: he will be seen by dr. in one to two weeks, dr. in two to three weeks, and dr. in four weeks. , procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures intraoperative cardiac pacemaker diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach open and other replacement of mitral valve transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: mitral valve disorders congestive heart failure, unspecified gout, unspecified atrial fibrillation hemorrhage complicating a procedure ostium secundum type atrial septal defect family history of ischemic heart disease personal history of malignant melanoma of skin 

Answer: The patient is high likely exposed to