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: mr. is a 77 year-old man, with a long history of aortic stenosis, followed by serial echocardiograms. he has had a drop in his ejection fraction from 55 to 45 with some wall motion abnormalities present during the echocardiogram prior to his admission. the patient had also become noticeably more fatigued over the last several months. at that time, he was scheduled for a cardiac catheterization, where he was seen preoperatively. catheterization report showed left main 60 percent, circumflex 70 percent, rca 100 percent diagonal, 100 percent obtuse marginal, 80 percent concentric lvh with severe hypokinesis of the inferior base and mid to distal anterior wall. a cardiac echocardiogram done during showed an ejection fraction of 45 percent with left atrial enlargement and an aortic valve area of 0.5 cm square with a peak gradient of 59 and a mean gradient of 40. echocardiogram additionally showed 1 plus mitral regurgitation and 1 plus tricuspid regurgitation. past medical history: the patient's past medical history is significant for aortic stenosis, asbestosis, hiatal hernia, atrophic right kidney, chronic renal insufficiency with a baseline creatinine of 2.4, hypertension, parkinson's disease, bladder cancer, status post chemotherapy 18 years ago and cataracts. past surgical history: significant for right shoulder rotator cuff repair, right cataract repair, transurethral resection of the prostate, tonsillectomy and adenoidectomy. medications preoperatively: hydrochlorothiazide 20 mg q. day, sinemet 25/100 one tablet three times a day, vitamin e q day, ambien 5 mg q day and indomethacin 50 mg one to three times per day prn. the patient states an allergy to intravenous dye. family history: significant for a father who died of a myocardial infarction and a mother who also died of a myocardial infarction. additionally, he has a brother who is still alive who has had a myocardial infarction in the past. social history: the patient lives alone. he has a remote tobacco history. he quit 40 years ago. he has very rare alcohol use. he states no other recreational drug use. chest ct done in showed asbestos related lung disease with an atrophic right kidney and a small hiatal hernia. the patient is a postoperative admit. his physical examination at the time of cardiac catheterization: heart rate is 54, irregularly regular. blood pressure is 180/80 on the right and 180/90 on the left. general: no acute distress. appears stated age. skin with no lesions. heent: pupils are equal, round, and reactive to light and accommodation with extraocular movements intact, anicteric, non injected. neck is supple with no lymphadenopathy or thyromegaly. chest is clear to auscultation bilaterally. heart is irregular with s1 and s2 and blowing, systolic ejection murmur. abdomen is soft, nontender, nondistended, with normoactive bowel sounds. extremities are warm and well perfused with no clubbing, cyanosis or edema and no varicosities. neurologic: non focal examination; cranial nerves 2 through 12 grossly intact. pulses femoral 2 plus bilaterally; dorsalis pedis pulse 2 plus on the right and 1 plus on the left. posterior tibial 2 plus on the right, 2 plus on the left. radial 2 plus bilaterally. as stated, the patient was a direct admission to the operating room on . please see the operating room note for full details. in summary, the patient had an aortic valve replacement with a 21 magna pericardial valve and coronary artery bypass graft times three with a left internal mammary coronary artery to the left anterior descending coronary artery, saphenous vein graft to the circumflex and saphenous vein graft to the pda. his bypass time was 182 minutes with a cross clamp time of 139 minutes. he was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was a-paced at 88 beats per minute with a mean arterial pressure of 79 and a cvp of 10. he had propofol at 30 mcg/kg per minute. the patient did well in the immediate postoperative period. his anesthesia was reversed. he remained hemodynamically stable throughout that period. his ventilator was weaned; however, his arterial blood gases remained inadequate to extubate as he had low tidal volumes when placed on pressure support ventilation. he, therefore, remained intubated on the day of the surgery and was allowed to rest overnight on imv ventilation. on postoperative day number one, the patient remained hemodynamically stable. his respiratory drive had improved sufficiently and the patient was successfully extubated at that time. all vasoactive medications were weaned off. the patient was begun on diuretics as well as beta blockade. additionally, given the patient's weakened condition from his parkinsonian state, neurologic consult was called for guidance in dosing the patient's parkinson's medications and recovery from general anesthesia. postoperative day two, the patient remained hemodynamically stable. he gradually was increasing in strength. his chest tubes were discontinued. his swan-ganz catheter was discontinued; however, he remained in the intensive care unit to closely monitor his hemodynamic and respiratory status. additionally, the patient was noted to go into atrial fibrillation. at that time, he was begun on amiodarone. on postoperative day number three, the patient remained hemodynamically stable in atrial fibrillation. his amiodarone drip was converted to oral dosing. in order to keep a close eye on the patient, he remained in the intensive care unit. on postoperative day number four, the patient continued to advance slowly and he was transferred to the floor for continuing postoperative care and cardiac rehab. once on the floor, the patient had an uneventful postoperative course. his activity level was gradually increased with the assistance of the nursing staff, as well as the physical therapy staff. the patient did convert into a normal sinus rhythm. however, given the duration of his atrial fibrillation, the decision was made to anticoagulate the patient. he was begun on heparin as well as coumadin. by postoperative day number six, the patient was experiencing periods of bradycardia on both amiodarone and metoprolol and the decision was made, at that time, to discontinue the amiodarone and continue the beta blockade. on postoperative day number seven, it was decided that the patient will be stable and ready for transfer to rehab on the following morning. at the time of this dictation, the patient's physical examination is as follows: temperature 97.9; heart rate 62, sinus rhythm. blood pressure 121/54. respiratory rate 20. oxygen saturation 93 percent on room air. the patient's weight preoperatively was 68 kg. at discharge, his weight is 69.5 kg. laboratory data: potassium of 4.3; bun 59; creatinine 2.6; pt of 14; inr of 1.3. this is one day prior to discharge. pt will be checked again on the morning of discharge. medications: 1. aspirin 81 mg q. day. 2. sinemet 25/100 one tablet three times a day. 3. colace 100 mg twice a day. 4. coumadin 5 mg three days prior to transfer. 5. atenolol 25 mg q. day. 6. prilosec 40 mg q. day. 7. wolfram to maintain a target inr of 2 to 2.5 as stated previously. the patient received 5 mg on the 25th, the 24th and the . physical examination: neurologically alert and oriented times three; moves all extremities, follows commands. remains weak; however, his strength is equal bilaterally. pulmonary: clear to auscultation bilaterally. cardiac: regular rate and rhythm, s1 and s2. sternum is stable. incision was steri-stripped without erythema or drainage. abdomen is soft, nondistended, nondistended, with normoactive bowel sounds. extremities are warm and well perfused with no edema. left saphenous vein graft harvest site endoscopic clean and dry with steri-strips. the patient is to be discharged to life care in . he is to have follow up with dr. in two to three weeks after discharge from rehabilitation. follow up with dr. four weeks after discharge from rehabilitation. follow up with dr. in six weeks from the day of surgery. discharge activities: 1. status post aortic valve replacement with a 21 magnifier cardial valve. 2. status post coronary artery bypass grafting times three with the lima to the lad; saphenous vein graft to the pda and saphenous vein graft to left circumflex. 3. parkinson's. 4. hypertension. 5. asbestosis. 6. chronic renal insufficiency with a baseline creatinine of 2.4. 7. bladder cancer, status post chemotherapy as well as transurethral resection of the prostate. 8. cataracts. 9. hiatal hernia. 10. status post rotator cuff surgery. , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft pulmonary artery wedge monitoring diagnoses: coronary atherosclerosis of native coronary artery atrial fibrillation aortic valve disorders hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease paralysis agitans other specified cardiac dysrhythmias personal history of malignant neoplasm of bladder asbestosis unspecified cataract lesion of radial nerve cardiac rhythm regulators causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to