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: patient recorded as having no known allergies to drugs attending: chief complaint: increasing exertional fatigue major surgical or invasive procedure: - minimally invasive mitral valve repair with 36mm annuloplasty band history of present illness: known mitral regurgitation followed by serial echocardiograms past medical history: htn ^chol depression varicose vein stripping sinus surgery social history: works as a pipe organ builder lives with friend denies tobacco, denies etoh family history: noncontributory physical exam: admission ht 5'" wt 182lbs gen nad neuro grossly intact heent umremarkable neck supple pulm diminished at bases cv rrr 4/6 sem abdm soft, nt/nd +bs ext warm, no edema discharge bp 110/80 hr 82 afebrile wounds: c/d/i heart: rrr lungs: slightly diminished bs at bases abd: benign pertinent results: 02:28pm wbc-12.3* rbc-4.08* hgb-12.6* hct-36.5* mcv-89 mch-30.9 mchc-34.6 rdw-14.0 02:28pm urea n-11 creat-1.0 chloride-112* total co2-26 02:32pm glucose-95 na+-140 k+-3.8 02:28pm plt count-145* 02:28pm pt-13.7* ptt-34.0 inr(pt)-1.2* *** report not finalized *** preliminary report patient/test information: indication: minimally invasive mvr, intra-op tee status: inpatient date/time: at 11:55 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw07-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left ventricle - ejection fraction: 55% (nl >=55%) interpretation: findings: right atrium/interatrial septum: mildly dilated ra. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thicknesses and cavity size. overall normal lvef (>55%). right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. partial mitral leaflet flail. no ms. orifice is >=0.40cm2. mr vena contracta is >=0.7cm severe (4+) mr. eccentric mr jet. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. 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. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results conclusions for post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions: pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). 3. the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. 4. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. 5. the mitral valve leaflets are mildly thickened. there is partial mitral leaflet flail of the p1-2 scallops. the effective orifice is >=0.40cm2 the mitral regurgitation vena contracta is >=0.7cm. severe (4+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric directed anteriorly. pulmonary vein reversal is seen. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine 1. a mitral ring is well seated. trace to mild mr is seen. mean gradient across the valve is 3-4 mm of hg. 2. biventricular systolic function is preserved. 3. aorta is intact. 4. other findings are unchanged. physician: radiology preliminary report chest (pa & lat) 8:56 am chest (pa & lat) reason: evaluate r apical pneumo medical condition: 47 year old man s/p mvr reason for this examination: evaluate r apical pneumo chest two views, pa and lateral history of mvr. chest tube is present in right apical regcardiology report echo study date of ion. there is a persistent small right apical pneumothorax, smaller than on the prior study of . there are small bilateral pleural effusions. no evidence for chf. impression: small right apical pneumothorax. small bilateral pleural effusions. dr. brief hospital course: mr was a direct admission to the operating room on . at that time he had a minimally invasive mitral valve repair with #36 band and a resection of p2. his bypass time was 102 minutes with a cross clamp of 91 minutes. he tolerated the operation well and was transferred from the or to the cardiac icu on propofol and neo-synephrine infusions. he did well in the immediate post-operative period and was extubated. on post-op day 1 he was weaned from all iv medications and transferred to the step down unit for continued care and increased physical activity. neurontin was started for leg pain on the side of his femoral artery cannulation. over the next several days he continued to do well and on post-op day four was discharged home with visiting nursing. he will take lasix for five days for diuresis and take two weeks of ibuprofen every eight hours for his minimally invasive surgery. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: lisinopril 40' buproprion 100" buspar 20" trazadone prn-sleep cialis discharge medications: 1. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*4* 3. bupropion 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 5. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. disp:*30 tablet(s)* refills:*0* 6. lasix 40 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days: take with lasix and stop when lasix stopped. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 8. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed for pain. disp:*35 tablet(s)* refills:*0* 9. buspar 10 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*2* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 11. ibuprofen 400 mg tablet sig: one (1) tablet po every eight (8) hours for 14 days. disp:*42 tablet(s)* refills:*0* 12. neurontin 600 mg tablet sig: one (1) tablet po twice a day for 1 months. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: s/p min inv mitral valve repair(36 band/resection p2) pmh: htn, ^chol, depression, varicose vein stripping, sinus surgery discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) take ibuprofen 400mg every 8 hours for 2 weeks then stop. 8) take lasix 40mg once daily and potassium 20meq once daily with lasix for 5 days then stop. 9) call with any questions or concerns. followup instructions: clinic in 2 weeks. 2. dr in 1 month. dr in 2 weeks. please call for all appointments. procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: pure hypercholesterolemia mitral valve disorders unspecified essential hypertension 

Answer: The patient is high likely exposed to