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: dyspnea on exertion, palpitations major surgical or invasive procedure: mitral valve repair (p2 resection and 34 mm ring) history of present illness: 47 year old gentleman with a history of mitral valve prolapse with mitral regurgitation who has been followed by serial echocardiograms. over the past year, his echocardiograms have shown progressive dilation of the left ventricular end systolic dimensions which is now at 44mm. given the progression of his mvp/mitral regurgitation, he has been referred for surgical repair. past medical history: anxiety lumbar disc disease mild benign prostatic hypertrophy s/p esophageal dilatation social history: lives with: mother occupation: . officer tobacco: quit 18yrs ago after 15 pk yr hx etoh: 24 drinks/week family history: mother with afib/, father with cad/mi died at 78 (cva) physical exam: pulse: 110 resp: 20 o2 sat: 100 b/p right: 125/80 left: 127/84 height: 72" weight: 200 general: nad, fit, well-appearing skin: dry intact heent: perrla eomi anicteric sclera, op benign neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 4/6 sem throughout precordium and radiating to carotids abdomen: soft non-distended non-tender bowel sounds + no hsm/cva tenderness extremities: warm , well-perfused edema varicosities: none neuro: grossly intact, non-focal, mae, strengths pulses: femoral right/left: 2+ dp right/left: 2+ pt /left: 2+ radial right/left: 2+ carotid bruit right/left: murmur radiates to bilateral carotids pertinent results: 08:25am blood wbc-5.3 rbc-3.87* hgb-11.9* hct-34.5* mcv-89 mch-30.8 mchc-34.6 rdw-12.4 plt ct-264# 05:05am blood glucose-105* urean-13 creat-0.8 na-138 k-4.3 cl-105 hco3-27 angap-10 08:25am blood urean-11 creat-0.8 k-4.5 prebypass no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is mildly depressed (lvef= 40 %). right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are elongated. there is moderate/severe mitral valve prolapse. there is partial mitral leaflet flail. the mitral regurgitation vena contracta is >=0.7cm. severe (4+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 820am. post bypass patient is in sinus rhythm and receiving an infusion of phenylephrine and epinephrine. biventricular systolic function is unchanged. annuloplasty ring seen in the mitral position. leaflets move well and the annuloplasty ring appears well seated. trivial central mitral regurgitation present. mean gradient across the mitral valve is 4 mm hg. aorta appears intact post decannulation. brief hospital course: admitted same day surgery and underwent mitral valve repair. see operative report for further details. he received cefazolin for perioperative antibiotics. postoperatively he was transferred to the intensive care unit for management. in first twenty-four hours he was weaned from sedation, awoke neurologically intact, and was extubated without complications. he was transfered to the floor on post operative day one for the remainder of his stay. physical therapy worked with him on strength and mobility. he did have a brief episode of atrial fibrillation which converted to sr with amiodarone. he remained in sinus rhythm. he continued to do well and was ready for discharge home on post operative day five. medications on admission: lorazepam 0.5 mg discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. lorazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety . disp:*60 tablet(s)* refills:*0* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. hydromorphone 4 mg tablet sig: one (1) tablet po q3h as needed for pain. disp:*28 tablet(s)* refills:*1* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 1 week, then 200mg x 1 week, then 200mg daily until further instructed. disp:*120 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: mitral regurgitation, s/p mv repair mild benign prostatic hypertrophy anxiety discharge condition: alert and oriented x3 ambulating with steady gait sternal pain managed with dilaudid discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: provider: , md phone: date/time: 1:00 please call to schedule appointments primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement operations on chordae tendineae diagnoses: mitral valve disorders atrial fibrillation personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) anxiety state, unspecified knee joint replacement arthrodesis status displacement of lumbar intervertebral disc without myelopathy rupture of chordae tendineae vasectomy status 

Answer: The patient is high likely exposed to