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 / codeine attending: chief complaint: asymptomatic, but with longstanding history of severe ai, following mechanical years ago. major surgical or invasive procedure: redo aortic valve repair on history of present illness: 58 yop male with history of st. year ago and known perivalvular leak, followed by echos. echo in showed ef 50%, dil. lv, lvh, and + ai. referred to dr. for redo surgery.admitted on for heparin bridge after stopping coumadin prior to reoperation. cardiac cath will be done also. last dose coumadin . had ddd pacer 5 years ago. past medical history: st. . pacer ddd thallasemia hypertension social history: smokes cigars occ. drinks 2 beers a day lives with wife and 3 kids family history: non-contrib. physical exam: 133/58 hr 68 rr 20, 97% ra sat, perrla eoms intact lungs ctab s1 s2 abd soft, nt, nd neuro grossly intact bounding peripheral pulses no bruits pertinent results: 06:58am blood wbc-9.5 rbc-4.10* hgb-8.0* hct-26.5* mcv-65* mch-19.6* mchc-30.3* rdw-16.3* plt ct-110* 09:00am blood neuts-70.6* lymphs-24.1 monos-3.7 eos-1.1 baso-0.5 09:00am blood hypochr-2+ anisocy-1+ microcy-3+ 05:10am blood pt-15.2* ptt-39.2* inr(pt)-1.5 11:15am blood fibrino-187 06:58am blood glucose-124* urean-20 creat-1.1 na-135 k-4.9 cl-102 hco3-28 angap-10 09:00am blood alt-17 ast-20 alkphos-60 amylase-58 totbili-1.0 02:45pm blood mg-2.2 09:00am blood albumin-4.2 09:07pm blood %hba1c-5.2 -done -done pre-op cxr- no acute pathology cath: nl. cors., severe ai ua neg. brief hospital course: admitted on after stopping coumadin on . had cath done in preparation for redo which was performed when inr normalized with heparin coverage. on dr. performed redosternotomy with aortic valve repair. transferred to csru in stable condition on a propofol drip.extubated later that day. on pod #1, pacing wires were dced after ep service reprogrammed dd rate to 70. cts were also removed. he was alert and oriented with 2+ periph. edema, av paced, and transferred to the floor. diuresis was begun on pod #2 and coumadin restarted later that evening. beta blockade started with metoprolol. started working with pt to increase his activity level. he did extremely well and did a level 5 on pod #2. he continued to be monitored for a therapeutic rise in inr for coumadin dosing. on pod #3, it remained at 1.1 and heparin drip was started on . ep reprogrammed the ddd pacer back to 50 as pre-op. pt. instructed to f/u in device clinic in weeks. on , inr rose to 1.5 and cleared for discharge by dr. . heparin stopped prior to discharge. pe unremarkable, 110/60, hr 62, rr 18, 98% ra sat. incision c/d/i. medications on admission: univasc 15 mg norvasc 10 mg qd coumadin ( ld ) aciphex prilosec folic acid discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 7 days. disp:*30 tablet(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for 7 days. disp:*30 tablet(s)* refills:*2* 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. warfarin sodium 1 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime) for 7 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: prosthetic aortic valve regurgitaionredo sternotomy with aortic valve repair hypertension thallasemia ddd pacer discharge condition: good discharge instructions: no lifting more than 10 lbs shower no cream or lotion on wound followup instructions: dr in 4 weeks cardiology follow up in 2 weeks inr draw in 3 days, f/u with pcp for dosing of coumadin procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters aortography open heart valvuloplasty of aortic valve without replacement artificial pacemaker rate check diagnoses: congestive heart failure, unspecified unspecified essential hypertension aortic valve disorders heart valve replaced by other means cardiac pacemaker in situ other thalassemia 

Answer: The patient is high likely exposed to