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: penicillins / procaine / lipitor attending: chief complaint: fatigue, dyspnea on exertion major surgical or invasive procedure: : redo sternotomy/mitral valve annuloplasty with 28 mm ring, history of present illness: 72 yo male with prior cardiac history significant for an aortic valve replacement in and device closure of a patent foramen ovale in who was hospitalized in for acute congestive heart failure. echocardiogram at that time revealed severe mitral regurgitation which was worse than his prior echocardiogram. of note, his hematocrit was found to be 25% however workup was only notable for mild gastritis. protonix was subsequently started. given the severity of his mitral regurgitation and progression of his failure symptoms, mr. was referred for surgical evaluation. past medical history: chronic a fib transient ischemic attack due to pfo ***right femoral /iliac atherosclerosis amplatz device closure pfo sustained vt (icd ) *** heparin-induced thrombocytopenia (after avr ) chf (acute, diastolic) severe mr deficiency anemia mild gastritis bph hematuria chronic low back pain (facet inject. ) mild non-obstructive bladder neck contracture recurrent utis past surgical history: avr (st. mechanical-) bladder outlet/prostate surgery and cystoscopy aicd device pfo closure social history: lives with: wife. , occupation:retired tobacco: 1ppd for 42 years. quit 20 years ago. etoh: former mod/heavy use. family history: father with mi at age 69. mother with diabetes. physical exam: pulse: 81 af resp: 18 o2 sat: 98%ra b/p right: left: 109/64 height: 5' 7 " weight: 171 general: wdwn in nad skin: dry, warm and intact. well healed sternotomy. left upper chest aicd pocket well healed. heent: ncat, perrla, eomi, sclera anicteric, op benign, edentulous. neck: supple full rom no jvd chest: ctab heart: irregular rhythm, rate 80. nl s1 - mechanical s2, ii/vi systolic murmur best heard at left mid sternal border. abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused trace edema varicosities: early venous stasis changes neuro: grossly intact pulses: femoral right:2+ left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit - transmitted vs. bruit on left. right without bruit discharge physical vs: t 98.0 hr: 80 sr bp: 116/64 sats: 97% ra general: in no apparent distress heent: normocephalic, mucus membranes moist neck: supple card: rrr no murmur good click resp: crackles 1/4 up bilateral no wheezes gi: benign extr: warm 2+ edema bilateral incision: sternal clean dry intact, margins will approximated, no erythema neuro: awake, alert and oriented pertinent results: hct-24.3* hct-27.5* wbc-15.1* rbc-3.51* hgb-9.9* hct-29.2* mcv-83 mch-28.2 mchc-33.9 rdw-16.8* plt ct-142* pt-25.0* ptt-37.6* inr(pt)-2.4* pt-20.7* inr(pt)-1.9* pt-19.5* inr(pt)-1.8* pt-14.7* inr(pt)-1.3* urean-28* creat-1.2 na-140 k-4.0 cl-101 glucose-126* urean-30* creat-1.5* na-137 k-5.0 cl-104 hco3-26 alt-19 ast-27 ld(ldh)-236 alkphos-49 totbili-0.4 %hba1c-6.1* eag-128* the left atrium is moderately dilated. no mass/thrombus is seen in the left atrium or left atrial appendage. a septal occluder device is seen across the interatrial septum. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). with mild global free wall hypokinesis. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. a mechanical aortic valve prosthesis is present. the transaortic gradient is normal for this prosthesis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. an eccentric, posteriorly directed jet of moderate to severe (3+) mitral regurgitation is seen. there a dilated mitral annulus (4.4 cm) and a restricted posterior leaflet, with malcoaptation seen most prominently at p3 cusp. post bypass: patient is paced on epinepherine, milrinone and phenylepherine infusions. i certify that i was present for this procedure in compliance with hcfa regulations. cxr: : findings: endotracheal and nasogastric tubes and chest tube have been removed. no evidence of pneumothorax. bibasilar atelectasis and effusion, more prominent on the left, persists. small amount of pericardial or mediastinal gas is again seen. brief hospital course: admitted for iv heparin /pats and underwent surgery with dr. on . transferred to the cvicu in stable condition on propofol, milrinone, insulin, and epinephrine drips. extubated and transferred to the floor on pod #1 to begin increasing his activity level. chest tubes and pacing wires removed per protocol. gently diuresed toward his preop weight. continued to make good progress and was cleared for discharge to home with vna on . all followup appts were advised. medications on admission: ***coumadin*** usually takes 5mg daily ld lisinopril 5 mg daily asa 81 mg daily lasix 20 mg daily metoprolol 25 mg protonix 40 mg vytorin 10/40 mg daily spironolactone 25 mg daily colace discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. vytorin 10-40 10-40 mg tablet sig: one (1) tablet po once a day. 3. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. furosemide 20 mg tablet sig: one (1) tablet po once a day: take 2 day for 7 days then once daily. disp:*30 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 7. warfarin 5 mg tablet sig: one (1) tablet po once a day. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day: take with lasix in morning. 10. acetaminophen 325 mg tablet sig: two (2) tablet po every hours as needed for pain/temp. 11. tramadol 50 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 12. amiodarone 200 mg tablet sig: two (2) tablet po once a day: 400 mg daily x 7 days then 200 mg daily . disp:*60 tablet(s)* refills:*2* 13. spironolactone 25 mg tablet sig: one (1) tablet po once a day. 14. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: home health and hospice discharge diagnosis: s/p redo sternotomy/mitral valve annuloplasty with 28 mm ring past medical history: chronic a fib, tia (pfo), right femoral /iliac atherosclerosis, amplatz device closure pfo , sustained vt (icd ), hit following avr , chf, severe mr, , deficiency anemia, mild gastritis, bph, hematuria, chronic low back pain (facet inject. ), mild non-obstructive bladder neck contracture, recurrent utis psh: avr (st. mechanical-), bladder outlet/prostate surgery and cystoscopy , aicd , device pfo closure discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage edema 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: , md phone: date/time: 1:15 cardiologist: @ 11:00 am please call to schedule appointments with your primary care dr , j. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication a fib home dose 5mg 4 days, 2.5 mg 3 days goal inr 2.0-2.5 first draw monday inr 2.4 results to phone dr office procedure: extracorporeal circulation auxiliary to open heart surgery annuloplasty diagnoses: other iatrogenic hypotension mitral valve disorders congestive heart failure, unspecified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia heart valve replaced by other means long-term (current) use of anticoagulants iron deficiency anemia, unspecified automatic implantable cardiac defibrillator in situ personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits other postprocedural status lumbago unspecified gastritis and gastroduodenitis, without mention of hemorrhage chronic diastolic heart failure other abnormal glucose 

Answer: The patient is high likely exposed to