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: shortness of breath major surgical or invasive procedure: 1. avr (25mm ce pericardial) 2. cabg x1 (svg-pda) history of present illness: the patient is a 45 year old male with a history of aortic stenosis (unknown valve area) with reported bicuspid aortic valve (no history of rheumatic heart disease), "rapid heart rate" for which he takes atenolol and 1 ppd x 15-17 years of tobacco who presented to hospital with the chief complaint of shortness of breath worsening over the past months. the patient initially presented to his pcp in / with the chief complaint of a runny nose, clear to yellowish productive cough with blood-tinged sputum and shortness of breath. his cxr at the time, per the patient, was clear but he was treated empirically for a pneumonia for a 2 week course. however, his symptoms did not resolve. a repeat cxr was taken which showed no pneumonia but he was treated again with levoquin again with no improvement. also at this time, he noted that he was unable to lie supine at night to sleep and thus sat upright while sleeping. in addition, he noted increased night sweats and chills and reports a 50 pound weight loss in the past 10 years with increased exercise but no decreased appetite. at baseline, the patient is able to exercise a high degree (ie. jogs 1/2 hour with 50 pound weight around waist, does aerobics daily). with his as, the patient denies any history of syncope or angina. around thursday, the patient noted increased lower extremity edema, increased orthopnea, and increased shortness of breath and thus went to on saturday . in addition, he has noticed increased hemoptysis with now up to a teaspoon at a time of blood in his sputum. he denies any recent travel and had a ppd placed by his pcp that was reportedly negative. at hospital, he was felt to be in chf and diuresed with 20 mg iv lasix x 2 with no effect and then 100 mg iv lasix with 900 cc out. he was transferred to for cath, aortic stenosis management. ros: denies any chest pain, melena/hematuria. denies any fevers but notes night sweats and chills. denies any palpitations. past medical history: aortic stenosis with h/o bicuspid aortic valve h/o "rapid heart rate" into 300s now on atenolol social history: the patient is an auto-body mechanic. he does not drink etoh and denies any iv or illicit drug use. he does admit to a h/o tobacco 1 ppd x 15-17 years ago, he quit 10-15 years ago. family history: mother in 60s with chf father with prostate cancer father's brother with cad s/p cabg in 50s no family history of sudden cardiac death or mi before age 50 physical exam: afebrile, hr 99, bp 86/42 nad, alert, pale and ill-appearing neck: supple, no jvd, no bruits chest: rrr, + sem; bibasilar rales abd: soft, nt, nd ext: no edema brief hospital course: the patient is a 45 year old male with a history of tobacco 1 ppd x 10-15 years, remarkable weight loss over past 10 years in setting of exercise, nights sweats, chills, and increased shortness of breath with bloody sputum x 2-3 months as well as aortic stenosis with h/o bicuspid aortic valve who was transferred from for management of his presumed chf and aortic stenosis. upon day of transfer, the pt steadily declined clinically, going into cardiogenic shock. he was taken emergently to the cardiac cath lab where he was found to have wide open ai with -ventricular dysfunction. his ef was 15%, cardiac index of 1, and sv02 of 24%. he was consented on the cath table for emergent surgery. he went to the or for emergent avr (25mm pericardial) and cabg x1 (svg-pda). for more detailed account, please see operative report. post-op, he was transferred to the csru on multiple vasopressors and inotropes, as well as an iabp. over the next several days, vasopressors and iabp were weaned to off or removed, repectively. he was extubated on pod 2. chest tubes and wires were removed per protocol over the next couple of days. during csru stay, pt did remarkably well with cardiac index from > 2.5 and svo2 of 60-70%. echo on pod 5 showed an ef 20-25%. he was transferred to the floor on pod 5. the remainder of his hospital stay was unremarkable. medications on admission: atenolol 25 mg po qd 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:*2* 2. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 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. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours). disp:*60 packet(s)* refills:*2* 8. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day: take lisinopril and coreg at staggered times. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: 1. aortic stenosis 2. aortic insufficiency 3. bicuspid aortic valve 4. hypertension 5. -ventricular dysfunction discharge condition: good discharge instructions: 1. resume medications as directed. 2. follow up as directed. 3. call office or go to er if fever/chills, drainage from sternal incision, chest pain, shortness of breath. followup instructions: pcp, 2 weeks, please call for appointment. dr. , 2 weeks, please call for appointment. dr. , 6 weeks, please call for appointment. procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft implant of pulsation balloon angiocardiography of right heart structures transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute kidney failure, unspecified atrial fibrillation aortic valve disorders cardiogenic shock congenital insufficiency of aortic valve 

Answer: The patient is high likely exposed to