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 / lopressor / indocin attending: chief complaint: dyspnea major surgical or invasive procedure: aortic valve replacement(25mm mosaic ultra), tricuspid repair, coronary artery bypass graft times one (lima to lad), left atrial ligation history of present illness: mr. is an 84 year old gentleman with a history of multiple admissions for congestive heart failure exascerbations. on his most recent admission for this complaint, he underwent a cardiac catheterization which revealed 70% stenosis of the left anterior descending artery. he was transferred to for evaluation for cardiac surgery past medical history: severe aortic stenosis mitral stenosis coronary artery disease chronic atrial fibrillation ascending aortic aneurysm chronic diastolic congestive heart failure carotid artery disease hyperlipidemia eczema peripheral vascular disease duodenal ulcer 30 yrs ago s/p turp social history: mr. lives alone and is retired. family history: his cardiac family health history is unremarkable. physical exam: on admission mr. was found to be well nourished. multiple bruises were noted on his arms, as was eczema. his neck was supple with a full range of motion. his lungs were clear to auscultation bilaterally. a iv/vi holosystolic cardiac murmur was ausculated. his abdomen was soft, non-tender, non-distended. 1+ edema was noted and his extremities were noted to be warm. no varicosities were noted, however there were bilateral venous stasis ulcers. he was awake, alert, and oriented times three. pertinent results: echo prebypass 1. the left atrial appendage emptying velocity is depressed (<0.2m/s). a definite thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2. there is mild regional left ventricular systolic dysfunction with hypokinesia of the apex, apical and mid portions of the inferior and inferoseptal walls.. overall left ventricular systolic function is mildly depressed (lvef= 45 %). 3.right ventricular chamber size and free wall motion are normal. 4.the ascending aorta is moderately dilated. 5. there are simple atheroma in the descending thoracic aorta. 6.the aortic valve leaflets are severely thickened/deformed. there is moderate to severe aortic valve stenosis (area 0.8-1.0cm2). trace aortic regurgitation is seen. 7. the mitral valve leaflets are moderately thickened. there is mild valvular mitral stenosis (area 1.5-2.0cm2). moderate (2+) mitral regurgitation is seen. 8. the tricuspid valve leaflets are mildly thickened. severe tricuspid regurgitation is seen. dr. was notified in person of the results on at 1030am.. post-bypass: the patient is av paced and on infusions of phenylephrine, milrinone and epinephrine. 1. biventricular function is unchanged. 2. the aorta is intact post decannulation. 3. the aortic valve has been replaced with a tissue valve. the valve appears well seated and the leaflets move well. there is no ar. the peak gradient is approximately 20mmhg at a co of 5 l/m. 4. the opening of the mitral valve leaflets has slightly improved. the mr is now mild. 5. an annuloplasty ring has been placed around the tricuspid valve. there is trivial regurgitation. 6. the left atrial appendage has been resected. the remainder of the examination is unchanged. brief hospital course: upon admission, mr. was was seen by podiatry for his extensive bilateral caluses, which they debrided. the dental service saw him and cleared him for surgery. carotid ultrasound was performed and revealed an occluded left internal carotid and 60-69% stenosis of the right internal carotid. vascular surgery was consulted given his risk of stroke during bypass with his carotid disease. the suggested that no carotid endartarectomy is indicated currently, but they recommended coumadin after surgery. vein mapping was performed. a chest radiograph demonstrated multiple asbestos plaques, so it was followed by a chest ct. this second study showed stable fusiform ascending aorta dilation and mediastinal lymphadenopathy from a study on . thoracic surgery recommended continued follow-up as an outpatient with the patient's pulmonologist. endocrinology was consulted for an elevated tsh, which discourage adding synthroid at this point. dermatology was consulted for his extensive eczema and a steroid cream was recommended. he was also seen by psychiatry for suicidality, and they felt he was not depressed or suicidal and continued to follow mr. throughout his hospitalization. incidentally, pt seen by dermatology for chronic eczemtous dermatitis. also had biopsy of forhead lesion which tuned out to be atypical spindle cell neoplasm which warrents further follow up. on he was taken to the operating room and underwent an aortic valve replacement(25mm mosaic ultra), tricuspid repair, coronary artery bypass graft times one (lima to lad), left atrial ligation. this procedure was performed by dr. . he tolerated the procedure well and was transferred intubated in critical but stable condition to the surgical intensive care unit on milrinone, amiodarone, epinephrine, levophed, insulin, propofol. pod#1 extubated and weaned from pressors and inotropes. pod# 2 amiodarone stopped due to bradycardia. electrophysiology consulted for possible pacer placement. permanent pacer was placed on for ongoing bradycardia -idioventricular rhythm 20-30's off amiodarone. decision made by dr. not to anticoagulate mr. due to fakk risk benefit profile. chest tubes and pacing wires removed on after permanent pacer placed. post operatively mr. rose to 2.5 from baseline of 1.2. nephrology was consulted. causation thought to be atn from hypoprofusion/hypotension. nephrotoxins were eliminated and over time creat imporved - presently 1.4-1.6. diuresis was resumed after recovered. mr. transferred from the icu on pod#6 and continued to make slow and study progress. he was evaluated by physical therapy and rehab was recommended. medications on admission: diltiazem 480mg, lasix 80mg in am and 40mg in pm, aspirin 325mg, antivert 25mg, digoxin 0.25 every other day, celebrex 200mg, betamethasone topically as needed for eczema, lipitor 20mg, serax 15mg, potassium chloride 40meq discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 7. atorvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. fluocinolone 0.01 % solution sig: one (1) appl topical (2 times a day). 9. ammonium lactate 12 % liquid sig: one (1) appl topical (2 times a day). 10. mupirocin calcium 2 % cream sig: one (1) appl topical (2 times a day). 11. urea 20 % cream sig: one (1) topical (2 times a day). 12. triamcinolone acetonide 0.1 % cream sig: one (1) appl topical (2 times a day) for 7 days. 13. meclizine 12.5 mg tablet sig: one (1) tablet po tid (3 times a day). 14. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 15. beclomethasone dipropionate 80 mcg/actuation aerosol sig: one (1) inhalation (2 times a day). 16. furosemide 40 mg tablet sig: two (2) tablet po daily (daily): home med regimen 80mg qam/40mg qpm- totrate accordingly based on edma and renal function. 17. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily) for 7 days: the decrease to 200mg daily . 18. humalog insulin per sliding scale fingersticks discharge disposition: extended care facility: life care center of discharge diagnosis: severe aortic stenosis mitral stenosis coronary artery disease chronic atrial fibrillation ascending aortic aneurysm chronic diastolic congestive heart failure carotid artery disease hyperlipidemia eczema peripheral vascular disease duodenal ulcer 30 yrs ago s/p turp discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks ( please call for appointment dr in 1 week (cardiologist) please call for appointment dr in weeks ( please call for appointment dr. (podiatry @ ) repeat tfts in 2 months with follow-up by primary care provider. wound check appointment 2 as instructed by nurse () procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle excision or destruction of other lesion or tissue of heart, open approach open and other replacement of aortic valve with tissue graft other operations on heart and pericardium closed biopsy of skin and subcutaneous tissue open heart valvuloplasty of tricuspid valve without replacement diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis thoracic aneurysm without mention of rupture atrial fibrillation peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction rheumatic heart failure (congestive) other and unspecified hyperlipidemia other specified cardiac dysrhythmias mitral valve stenosis and aortic valve stenosis long-term (current) use of aspirin tricuspid valve disorders, specified as nonrheumatic contact dermatitis and other eczema, unspecified cause benign neoplasm of skin of other and unspecified parts of face 

Answer: The patient is high likely exposed to