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: erythromycin base attending: chief complaint: decrease exercise tolerance major surgical or invasive procedure: - minimally invasive mitral valve repair (34mm ring), pfo closure. of present illness: the patient is a 50-year-old gentleman who was diagnosed with severe mitral regurgitation. he has been followed by serial echo's with the most recent showing 4+ mr. the patient was referred to dr. for repair or replacement. the patient understood the risks and benefits of the procedure and wished to proceed. past medical history: mvp/mr pulmonary nodule on ct (stable) social history: works in window treatments. 2 drinks weekly. quit smoking 20 years ago. lives with wife. family history: father with cad physical exam: gen: wdwn in nad skin: warm, dry, no c/c/e heent: ncat, perrl, anicteric sclera. needs root canal lungs: clear heart: rrr, iv/vi holosystolic murmur abd: benign ext: no varicosities, pulses 2+, no edema pertinent results: echo the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3)appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no pericardial effusion. cxr bibasilar atelectasis. no pulmonary edema. 07:25am blood wbc-8.8 rbc-3.62* hgb-11.4* hct-32.4* mcv-89 mch-31.5 mchc-35.2* rdw-13.4 plt ct-118* 07:25am blood plt ct-118* 07:25am blood glucose-116* urean-12 creat-0.8 na-135 k-4.3 cl-100 hco3-26 angap-13 ospital course: mr. was admitted to the on for elective surgical management of his mitral valve disease. his surgery was delayed one day due to a surgical emergency. he was taken to the operating room on where he underwent a minimally invasive mitral repair using a 34mm ring and patent foramen ovale closure. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. he awoke neurologically intact and was extubated. on postoperative day one he was transferred to the cardiac surgical step down unit for further recovery. aspirin and beta blockade were started. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he continued to make steady progress and was discharged home on postoperative three. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: lisinopril 20mg qd advair clarinex discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 3. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 7 days. disp:*14 capsule, sustained release(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 10 days. disp:*20 capsule(s)* refills:*0* 5. 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:*2* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed for 3 weeks. disp:*60 tablet(s)* refills:*0* 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: mvp/mr pulmonary nodule s/p root canal 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) you may wash you incision and pat dry. no swimming or bathing until it has healed. 5) no lotions, creams or powders to wound until it has healed. followup instructions: follow-up with dr. in 1 month. ( follow-up with cardiologist dr. in weeks. follow-up with primary care physician . in 2 weeks. (. call all providers for appointments. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other and unspecified repair of atrial septal defect open heart valvuloplasty of mitral valve without replacement operations on chordae tendineae diagnoses: mitral valve disorders unspecified essential hypertension asthma, unspecified type, unspecified iatrogenic pneumothorax ostium secundum type atrial septal defect rupture of chordae tendineae 

Answer: The patient is high likely exposed to