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: asymptomatic with asc. aortic aneurysm major surgical or invasive procedure: redo-sternotomy, asc. aorta and hemiarch replacement with 26mm gelweave graft history of present illness: 49 y/o male who underwent coarctation repair at age 16 and an avr in who underwent an mri which revealed an ascending aortic aneurysm. he was then referred for surgical management of this aneurysm past medical history: bicuspid aortic valve s/p aortic valve replacement , coarctation of aorta s/p surgical repair at age 16, hypertension, s/p foot surgery social history: denies tobacco use. admits to 1 alcoholic beverage/day. family history: non-contributory physical exam: pe: 79, 14, 138/73, 69", 245lbs general: wdwn male in nad, obese skin: well-healed sternotomy and thoracotomy heent: eomi, perrl, nc/at neck: supple, from, -jvd, -carotid bruits chest: ctab -w/r/r heart: rrr, soft sem abd: soft, nt/nd, +bs ext: warm, well-perfused, -edema, -varicosoties neuro: mae, a&o x 3, non-focal discharge vitals 99.0, 88 sr, 104/60, 18 ra sat 96% wt 114.9kg neuro a/o x3 nonfocal pulm cta except decreased at bases cardiac rrr no murmur/rub/gallop sternal inc: no drainage/erythema sternum stable staples intact abd soft, nt, nd +bs leg inc right groin staples no erythema/drainage pertinent results: 03:55am blood wbc-12.8* rbc-3.10* hgb-9.5* hct-27.4* mcv-88 mch-30.5 mchc-34.5 rdw-13.8 plt ct-335 12:35pm blood wbc-14.4*# rbc-2.78*# hgb-8.7*# hct-24.7*# mcv-89 mch-31.2 mchc-35.1* rdw-13.8 plt ct-161 03:55am blood plt ct-335 02:25am blood pt-13.2* ptt-26.0 inr(pt)-1.1 12:35pm blood plt ct-161 12:35pm blood pt-17.6* ptt-33.4 inr(pt)-1.6* 03:55am blood glucose-150* urean-26* creat-0.9 na-136 k-3.8 cl-95* hco3-32 angap-13 02:17pm blood urean-14 creat-0.7 cl-114* hco3-23 03:55am blood calcium-8.6 phos-4.2 mg-2.5 ekg sinus rhythm consider left atrial abnormality left bundle branch block since previous tracing of , no significant change read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 82 190 148 426/464.42 55 37 121 *** report not finalized *** preliminary report patient/test information: indication: intra-op tee for ascending aorta aneurysm repair height: (in) 69 weight (lb): 245 bsa (m2): 2.25 m2 bp (mm hg): 124/68 hr (bpm): 72 status: inpatient date/time: at 09:41 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw209-9:4 test location: anesthesia west or cardiac technical quality: suboptimal referring doctor: dr. measurements: left ventricle - septal wall thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.1 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.7 cm left ventricle - fractional shortening: *0.27 (nl >= 0.29) left ventricle - ejection fraction: 55% (nl >=55%) aorta - valve level: 3.6 cm (nl <= 3.6 cm) aorta - ascending: *4.5 cm (nl <= 3.4 cm) aorta - arch: 2.5 cm (nl <= 3.0 cm) aorta - descending thoracic: 2.4 cm (nl <= 2.5 cm) aortic valve - peak velocity: *2.3 m/sec (nl <= 2.0 m/sec) aortic valve - peak gradient: 22 mm hg aortic valve - mean gradient: 14 mm hg aortic valve - lvot peak vel: 1.17 m/sec aortic valve - lvot vti: 33 aortic valve - lvot diam: 1.9 cm interpretation: findings: very poor echo windows throughout right atrium/interatrial septum: normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thicknesses and cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. moderately dilated ascending aorta. normal aortic arch diameter. normal descending aorta diameter. mild coarctation of distal aortic arch. aortic valve: bioprosthetic aortic valve prosthesis (avr). normal avr leaflets. normal avr gradient. no as. no ar. mitral valve: normal mitral valve leaflets. no ms. trivial mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally post-bypass data conclusions: pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the ascending aorta is moderately dilated with maximum dimensions of 4.5, the most proximal part of the arch that is seen is 2.5 cm in diameter. there is a mild coarctation of the distal aortic arch, just distal to take off of the left subclavian artery narrowing down to 1.7cm briefly before enlarging to 2.4 cm. 5. a bioprosthetic aortic valve prosthesis is present. the prosthetic aortic leaflets appear normal the transaortic gradient is normal for this prosthesis. the eoa of this valve is 1.5 cm2 . no aortic regurgitation is seen. 6. the mitral valve leaflets are structurally normal. trivial mitral regurgitation is seen. 7. there is no pericardial effusion. post-bypass: pt is being a paced and is on an infusion of phenylephrine 1. biventricular function i spreserved 2. aorta valve opens well. no ai seen 3. a graft is seen in the ascending aorta 4. other findings are unchanged physician: reason: ct removal and tlcl change over wire medical condition: 47 year old man s/p asc. aorta and hemi-arch replacement. please page at with abnormalities. reason for this examination: ct removal and tlcl change over wire clinical history: status post aortic arch replacement with tube removed, evaluate for pneumothorax. the left chest tube has been removed. the right chest tube remains in situ. no pneumothorax is identified. the upper left rib resection is again noted. some atelectasis and left effusion is now present. impression: left effusion, no pneumothorax. dr. . approved: 4:36 pm brief hospital course: mr. was a same day admit after undergoing all preoperative work-up as an outpatient. on day of admission he was brought to the operating room where he underwent a redo-sternotomy, ascending aorta and hemiarch replacement. please see operative report for surgical details. following surgery he was transferred to the csru for invasive monitoring in stable condition. he remained intubated overnight and post-op day one he was weaned from sedation, awoke neurologically intact and extubated. beta blocker and diuretics were started and he was gently diuresed towards his pre-op weight. on post-op day two his chest tubes and epicardial pacing wires were removed. following this he was transferred to the telemtry floor for the remainder of his hospital course. physical therapy followed patient during his post-op course for strength and mobility. he continued to progress and was ready for discharge home with services pod 6. medications on admission: zocor 20mg qd, aspirin 81mg qd, lopressor 50mg , lisinopril 20mg 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:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 4. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 5. chlorpromazine 25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for hiccup for 3 days. disp:*10 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*0* 7. pantoprazole 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:*0* 8. furosemide 20 mg tablet sig: two (2) tablet po bid (2 times a day) for 10 days. disp:*40 tablet(s)* refills:*0* 9. potassium chloride 20 meq packet sig: two (2) packet po bid (2 times a day) for 10 days. disp:*40 packet(s)* refills:*0* discharge disposition: home with service facility: gentiva discharge diagnosis: ascending aortic aneurysm s/p redo-sternotomy, asc. aorta and hemiarch replacement pmh: bicuspid aortic valve s/p aortic valve replacement , coarctation of aorta s/p surgical repair at age 16, hypertension, s/p foot surgery discharge condition: good discharge instructions: follow medications on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. do not use lotions, powders, or creams on wounds. call our office for temp>101.5, sternal drainage. p instructions: dr. in 4 weeks dr. in weeks dr. in weeks wound check 2 friday procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart resection of vessel with replacement, thoracic vessels diagnoses: unspecified essential hypertension thoracic aneurysm without mention of rupture heart valve replaced by other means congenital insufficiency of aortic valve personal history of surgery to heart and great vessels, presenting hazards to health 

Answer: The patient is high likely exposed to