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: red dye / percocet attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - avr (23mm mosaic ultra porcine heart valve) - cardiac catheterization history of present illness: 76 year old man with history of as followed by serial echocardiogram. he has had doe over the past 2-3 years which has been worsening. his most recent echo showed progression of his aortic stenosis and he was thus referred for a acardiac catheterization and surgery. past medical history: as s/p avr htn hyperlipidemia paf bph asthma vertigo diverticulosis s/p sigmoid colectomy colonic polyps s/p polypectomy djd detached retina social history: retired banker. lives with wife. drinks 4 alcoholic drinks weekely. never smoked. family history: none physical exam: 56 sr 170/90 gen: nad heent: unremarkable neck: supple, from lungs: cta heart: rrr, iii/vi sem abdomen: s/nt/nd/nabs ext: warm, well perfused, no edema, no varicosities. neuro: grossly intact pertinent results: 11:48pm urine blood-neg nitrite-pos protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.5 leuk-neg 10:50pm glucose-120* urea n-15 creat-1.4* sodium-139 potassium-3.6 chloride-102 total co2-31 anion gap-10 10:50pm alt(sgpt)-18 ast(sgot)-20 ld(ldh)-201 alk phos-49 tot bili-0.7 10:50pm %hba1c-5.3 10:50pm wbc-7.5 rbc-4.71 hgb-14.1 hct-41.1 mcv-87 mch-29.9 mchc-34.3 rdw-13.5 10:50pm pt-13.0 ptt-25.3 inr(pt)-1.1 cardiac catheterization 1. selective coronary angiography of this right dominant system revealed no angiographically apparent flow limiting stenoses. the lmca, lad, lcx, and rca had no angiographically apparent stenoses. 2. resting hemodynamics revealed an right atrial pressure of /9 mmhg, right ventricular pressure of 33/12 mmhg, pulmonary artery pressure of 33/15/22 mmhg, and pulmonary capillary wedge pressure of 15/21/17. the left ventricular pressure was 238/24 mmhg and systemic arterial pressure was 176/88/116mmhg. aortic valve gradient was 54.4 mmhg with valve area of 0.85 cm2. 3. left ventriculgraphy was deferred cxr lung volumes remain very low with moderate left lower lobe atelectasis and probable small left pleural effusion. no pneumothorax. mild enlargement of the postoperative cardiomediastinal silhouette is stable. right lung is clear. , m 76 radiology report chest (pa & lat) study date of 10:36 am , r. csurg fa6a sched chest (pa & lat) clip # reason: eval for pleural effusions medical condition: 76 year old man s/p avr reason for this examination: eval for pleural effusions final report pa and lateral chest, history: avr. evaluate pleural effusions. impression: pa and lateral chest compared to : lung volumes are generally improved, and left lower lobe atelectasis significantly cleared. small bilateral pleural effusions persist, probably decreased. postoperative cardiac silhouette, slightly enlarged, is stable. lungs are clear and there is no pulmonary edema. dr. approved: fri 11:14 am imaging lab 06:15am blood wbc-8.7 rbc-3.25* hgb-10.0* hct-28.2* mcv-87 mch-30.8 mchc-35.5* rdw-13.7 plt ct-90* 06:15am blood glucose-95 urean-28* creat-1.4* na-135 k-4.7 cl-100 hco3-29 angap-11 brief hospital course: mr. was admitted to the on for a cardiac catheterization and surgical management of his aortic valve stenosis. a cardiac catheterization revealed no significant coronary artery disease and severe aortic stenosis. please see report for details. on , mr. was taken to the operating room where he underwent an aortic valve replacement using a poricne valve. please see operative note for details. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. within 24 hours, he awoke neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. he was then transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. on pod#4 mr. was ready for discharge to home with vna services. he was advised to follow up with his pcp/cardiologist and dr . medications on admission: digoxin 0.25', zestril 5', norpace 150'', 60', lipitor 10', flomax 0.4', tricor 145', meclizine 25', asa 325', ocuvite, rhinocort prn, albuterol prn, clotrimazole prn, chlorhexidine 1-2x'day discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 3. 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* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 5. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*0* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*0* 9. fexofenadine 60 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 * refills:*0* 11. lasix 40 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna assoc. of discharge diagnosis: as s/p avr htn hyperlipidemia paf bph asthma vertigo diverticulosis colonic polyps djd discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 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) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in 2 weeks. procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters open and other replacement of aortic valve with tissue graft diagnoses: unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified aortic valve disorders other and unspecified hyperlipidemia osteoarthrosis, unspecified whether generalized or localized, site unspecified knee joint replacement diverticulosis of colon (without mention of hemorrhage) personal history of colonic polyps 

Answer: The patient is high likely exposed to