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: morphine attending: chief complaint: inreased sob and fatigue major surgical or invasive procedure: aortic valve replacement with a 25 mm - pericardial tissue heart valve. coronary artery bypass grafting times 3 with the left internal mammary artery grafted to the left anterior descending with reverse saphenous vein graft to the ramus intermedius branch and marginal branch and circumflex. placement of intra-aortic balloon pump. history of present illness: mr. is a 76-year-old male who is known to have severe aortic insufficiency with worsening heart failure, shortness of breath, dyspnea on exertion. he underwent cardiac catheterization that showed severe three- vessel disease. he has a history of a v-fib arrest in the past and a diminished ejection fraction estimated at about 25-30%. he is status post placement of an aicd. he also suffers from chronic atrial fibrillation as well. he is presenting for high-risk aortic valve replacement and coronary artery bypass operation. past medical history: 1. cardiac history as above 2. left hip fracture with no surgical intervention 3. iron deficiency anemia 4. gerd 5. renal insufficiency 6. cad 7. a fib 8. htn 9. chf 10. ^ cholesterol 11. vfib arrest with aicd social history: pt lives with his significant other. is a retired carpenter. he is jehova's witness and declines all blood products. no etoh, tobacco, or drugs. family history: brother had a 4 vessel cabg in his 40s. physical exam: vitals:97.9 hr 82 afib 112/76 94% rasat :exam at discharge general: heent: neck:no jvd chest:cta bilat with decreased bs at bases heart: no murmur abd:soft, nt, nd ext:2+ lle edema with erythema; trace edema rle with pulese: neuro:a x o , nonfocal exam pertinent results: 06:58am blood wbc-11.7* rbc-4.10* hgb-12.0* hct-36.8* mcv-90 mch-29.4 mchc-32.7 rdw-15.5 plt ct-183 06:58am blood glucose-70 urean-32* creat-1.7* na-138 k-4.5 cl-100 hco3-26 angap-17 09:47am blood heparin dependent antibodies - negative 06:50am blood wbc-9.5 hct-33.4* 01:20pm blood wbc-7.8 rbc-4.38* hgb-13.6* hct-39.2* mcv-90 mch-31.1 mchc-34.8 rdw-15.5 plt ct-147* 06:50am blood pt-21.0* inr(pt)-3.2 06:50am blood urean-29* creat-1.8* k-4.3 01:20pm blood %hba1c-5.5 -done -done brief hospital course: mr. was admitted on and underwent cardiac catheterization. coronary angiography revealed a right dominant system and severe three vessel disease. the lmca had severe diffuse disease with 70% stenosis in the mid vessel. the d1 had 70% stenosis at the mid segment. the lcx had severe diffuse 80% stenosis proximally and 70% stenosis distally after the om2 takeoff. the rca was not evaluated due to known total occlusiosn. the aortography revealed 4+ aortic insufficiency. based on the above results, cardiac surgery was consulted and further evaluation was performed. underwent avr/cabg x3 / iabp placement on and transferred to csru in stable condition. (chart from to is missing - medical records was notified ).iabp was removed in the unit postoperatively.he spent several additional days in the csru for management of diuresis and rhythm. chest tubes and pacing wires were removed after the patient transferred to the floor. he continued to work on ambulation and pulmonary toilet while remaining in atrial fibrillation over the next several days. adjustments were made in his bp meds and to optimize diuresis. he was restarted on coumadin with goal inr 2.0-2.5. on day of discharge (please see exam), inr 3.2, so coumadin dose for today will be held. pt. is to have vna blood draw in am and follow-up with dr. for dosing for tomorrow. discharged to home with vna services on . medications on admission: mucomyst ( stopped ) asa 325 mg qd colace folic acid lasix 20 mg qd toprol xl 200 mg qd protonix sl nitrostat prn ambien prn discharge medications: 1. colace 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 2. 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* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours) for 1 months. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 1 weeks. disp:*7 tablet(s)* refills:*0* 8. warfarin 1 mg tablet sig: one (1) tablet po once a day as needed for inr goal 2.0-2.5 for prn days: hold today : goal inr 2.0-2.5. disp:*40 tablet(s)* refills:*0* 9. potassium chloride 20 meq packet sig: one (1) packet po daily (daily). disp:*30 packet(s)* refills:*2* 10. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 11. metoprolol succinate 100 mg tablet sustained release 24hr sig: two (2) tablet sustained release 24hr po daily (daily). disp:*60 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home with service facility: tba discharge diagnosis: s/p avr(#25 ce pericardial)cabgx#(lima->lad,svg->om,svg->ramus) pmh: cad, htn, ^chol, afib, vf arrest s/p icd placement, cri(1.5-2.2) lft hip fx, anemia, gerd, bil cataracts, hoh discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds followup instructions: wound clinic in 1 week on 11 dr in 4 weeks dr in 2 weeks- daily coumadin dosing /inr follow-up procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnostic ultrasound of heart diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft aortography implant of pulsation balloon transfusion of packed cells transfusion of other serum transfusion of platelets injection or infusion of nesiritide infusion of vasopressor agent diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation aortic valve disorders paroxysmal ventricular tachycardia unspecified disorder of kidney and ureter iron deficiency anemia, unspecified fitting and adjustment of automatic implantable cardiac defibrillator 

Answer: The patient is high likely exposed to