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: no known allergies / adverse drug reactions attending: chief complaint: shortness of breath major surgical or invasive procedure: mitral valve repair (a3 chordoplasty, 28 mm ce physio ii ring) mediastinal re exploration history of present illness: 51 year old male with past medical history for significant hypertension, mitral regurgitation complicated by mitral valve prolapse, and gerd who has had increasing doe over the last year with acute worsening over the past few months. over the last week he developed a cough which caused him to go to his pcp. was found to be hypertensive to sbps with systolic pressures in the 190s in the office and an ekg with nsr at 79bpm, normal axis incomplete rbbb biatrial enlargement, lvh and inversions of the t wave in v . he was referred to an outside hospital emergency room, were he was admitted for rule out myiocardial infarction. he had negative troponin-i x4. echo showed mvp with severe phtn, as well as a hypokinetic rv and diastolic dysfunction. a cxr showed cardiomegaly without acute cardiac decompensation. subtle increased interstitial markings, probably chronic, no consolidation identified. he was transeferred to for cardiac catheterization and a cardiac surgery evaluation for a mitral valve replacement. past medical history: hypertension pulmonary hypertension diastolic heart failure mitral regurgitiation mitral valve prolapse former smoker social history: lives with:wife occupation:retired from computer programming because of stress and htn. now day trading foreign currencies. tobacco: 1ppd x 20years, quit 5 years ago etoh:denies family history: non contributory physical exam: pulse:78 resp:18 o2 sat:99/ra b/p right:151/111 left:152/112 height:5'5" weight:149 lbs general:nad, alert, cooperative skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular iii-iv systolic murmur across precordium abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: +2 left:+2 dp right: +2 left:+2 pt : +2 left:+2 radial right:+1 left:+2 carotid bruit right/left:murmur radiates to both carotids pertinent results: 11:00am blood wbc-6.5 rbc-2.71*# hgb-8.6*# hct-25.6*# mcv-94 mch-31.7 mchc-33.5 rdw-13.7 plt ct-91* 11:00am blood plt smr-low plt ct-91* 11:00am blood pt-15.8* ptt-35.3* inr(pt)-1.4* 11:00am blood fibrino-152 12:23pm blood urean-18 creat-1.0 na-142 k-4.4 cl-114* hco3-21* angap-11 02:13am blood mg-1.7 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.8 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *6.1 cm <= 5.6 cm aorta - sinus level: 2.7 cm <= 3.6 cm aorta - ascending: 2.5 cm <= 3.4 cm aortic valve - peak velocity: 0.7 m/sec <= 2.0 m/sec aortic valve - peak gradient: 2 mm hg < 20 mm hg aortic valve - lvot diam: 1.9 cm aortic valve - valve area: *1.6 cm2 >= 3.0 cm2 findings multiplanar reconstructions were generated and confirmed on an independent workstation. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness and cavity size. right ventricle: moderate global rv free wall hypokinesis. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. normal aortic diameter at the sinus level. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: moderate to severe (3+) mr. tricuspid valve: mild tr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. regional left ventricular wall motion: conclusions left ventricular wall thicknesses and cavity size are normal. there is moderate rv dysfunction .the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque to 35cm from the incisors. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. there is an a3 flail with a hole in the a3 leaflet,with moderate to severe (3+) mitral regurgitation is seen. lv function is >55%.there is 1+ tricuspid regurgitation. post the patient is now s/p mitral valve repair--a3 chordoplasty with physio ring size 28 the patient is on a norepinephrine drip @0.15 mcg/kg/min and milrinone @0.25 mcg/kg/min, the cardiac output is 4.2 lpm the ring is well seated with no mitral regurgitation.the mean gradient across the valve is 2mmhg the ejection fraction is 40% brief hospital course: he was admitted same day surgery and was brought to the operating room for mitral valve repair. see operative report for further details. he received cefazolin for perioperative antibiotics and was transferred to the intensive care unit for post operative management. he required milirone and levophed for hemodynamic management and had increased chest tube output. due to increased chest tube output he was taken back to the operating room for re exploration. see operative report for further details. he returned from the operating room on propofol for sedation and required nitroglycerin for blood pressure management. in the first twenty four hours he was weaned from sedation, awoke neurologically intact and was extubated without complications. he continued to do well and was started on lasix and betablockers on post operative day one, and transferred to the floor. physical therapy worked with him on strength and mobility. he continued to progress, chest tubes and epicardial wires removed per protocol. betablocker was increased at tolerated. on post operative day four he was ready for discharge home with services. medications on admission: aspirin 81 mg daily amlodipine 10 mg daily metoprolol tartrate 50 mg omeprazole 20 mg daily lisinopril 10 mg daily hydrochlorothiazide 25 mg daily discharge disposition: home with service facility: vna discharge diagnosis: mitral regurgitation s/p mv repair mitral valve prolapse hypertension pulmonary hypertension chronic diastolic heart failure discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage edema trace 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 on at 1:30pm in the medical office building cardiologist/pcp: on at 2:30pm wound check cardiac surgery office wed at 10 am () **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 reopening of recent thoracotomy site open heart valvuloplasty of mitral valve without replacement operations on chordae tendineae diagnoses: esophageal reflux mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension other chronic pulmonary heart diseases personal history of tobacco use hemorrhage complicating a procedure surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation accidents occurring in residential institution chronic diastolic heart failure 

Answer: The patient is high likely exposed to