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: severe chest pain major surgical or invasive procedure: replacement of ascending aorta and hemiarch and aortic valve resuspension history of present illness: mr. is a 60 year old male who developed sudden onset chest pain which radiated to his neck and jaw. he was found to be hypotensive and grey while at home. en route to another hospital he was given intravenous fluids and found to have significant blood pressure difference between his two arms. a chest cta revealed a type a aortic dissection with extension into the right subclavian artery and occlusion of the right common carotid artery. there was no extension into the abdominal aorta. given the above findings, he was emergently transferred to the for surgical intervention. past medical history: hypertension gerd appendectomy melanoma resection - radical left groin dissection syndrome hypercholesterolemia social history: denies tobacco. admits to only social etoh. works long hours in government position and teaches at night. family history: admits to coronary artery disease - unknown ages. physical exam: discharge exam: vitals- 98.6 104/60 82sinus 92%3l nc general- pleasant to speak with heent- perrla neck- supple, full rom chest- lungs clear bilaterally heart- irregular rhythm, sternum stable abdomen- soft, nontender without rebound or guarding. normoactive bowel sounds ext- warm with 1+ bilateral edema neuro- alert, oriented, non-focal pulses- 2+ incisions- clean, dry pertinent results: intraop tee: pre bypass: the left atrium and right atrium are normal in cavity size. no atrial septal defect is seen by 2d or color doppler. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is moderately dilated. there are simple atheroma in the descending thoracic aorta. a mobile density is seen in the ascending aorta, aortic arch, and descending aorta that is consistent with an intimal flap/aortic dissection. it arises at the level of the sino-tubular junction. it continues for approximately 10 cm beyond the left subclavian. there is no pericardial collection. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. post bypass: left and right ventricular function is preserved. an aortic graft is in place. there is mild aortic regurgitation. the descending aortic dissection is unchanged. 05:43am blood wbc-12.2* rbc-3.05* hgb-9.4* hct-28.1* mcv-92 mch-30.8 mchc-33.5 rdw-14.4 plt ct-544* 06:07pm blood wbc-13.0* rbc-4.07* hgb-13.6* hct-36.6* mcv-90 mch-33.3* mchc-37.1* rdw-13.1 plt ct-240 05:43am blood pt-31.5* ptt-40.3* inr(pt)-3.3* 09:20am blood pt-41.5* inr(pt)-4.6* 05:43am blood urean-19 creat-1.2 k-4.3 09:20am blood glucose-149* urean-20 creat-1.0 na-138 k-4.5 cl-103 hco3-26 angap-14 06:07pm blood glucose-104 urean-17 creat-1.0 na-142 k-3.7 cl-107 hco3-26 angap-13 01:49am blood alt-18 ast-53* ld(ldh)-308* alkphos-34* amylase-67 totbili-1.4 06:07pm blood ck(cpk)-147 01:49am blood lipase-10 05:43am blood mg-2.2 08:44am blood calcium-6.6* phos-2.5* mg-1.9 brief hospital course: mr. was emergently brought to the operating room where dr. performed an aortic dissection repair. for surgical details, please see seperate dictated operative note. following the operation, he was brought to the cvicu for invasive monitoring. he was initially maintained on intravenous nitro to maintain map less than 85mmhg and sbp in the 100-120mmhg. on postoperative day one, he awoke neurologically intact and was extubated without incident. he required several units of prbc to help maintain a hematocrit near 30%. over several days, he gradually weaned from intravenous nitro and was transitioned to beta blockade. he maintained stable hemodynamics and eventually was transferred to the sdu on postoperative day three. he remained stable with good bp control on oral agents. a cta was done to assess his repair and any residual aortic pathology. he was ambulating and neurologically intact. he continued to be in and out of atrial fibrillation so he was discharged on amiodarone and low dose coumadin. he passed physical therapy on post-op day 8 and was cleared to be discharged to rehab. medications on admission: hctz 25 qd, prilosec 20 qd, aspirin 81 qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 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:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. disp:*30 ml(s)* refills:*0* 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. disp:*30 suppository(s)* refills:*0* 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. lorazepam 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 11. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed). disp:*90 lozenge(s)* refills:*0* 12. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*0* 13. diltiazem hcl 60 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*0* 14. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed. disp:*qs qs* refills:*0* 15. 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* 16. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed. disp:*50 tablet(s)* refills:*0* 17. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). disp:*qs qs* refills:*2* 18. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*qs qs* refills:*2* 19. chlorpheniramine-hydrocodone 8-10 mg/5 ml suspension, sust.release 12 hr sig: five (5) ml po q12h (every 12 hours) as needed. disp:*qs ml(s)* refills:*0* 20. furosemide sig: twenty (20) milligrams intravenous twice a day for 1 weeks. disp:*qs qs* refills:*0* discharge disposition: extended care facility: health network discharge diagnosis: type a aortic dissection s/p replacement of ascending aorta and hemiarch,aortic valve resuspension hypertension syndrome gastric reflux hypertension hypercholesterolemia irritable bowel syndrome discharge condition: good discharge instructions: no driving for one month and off all narcotics no lifting more than 10 lbs for 10 weeks from surgery date. shower daily, no baths or swimming do not apply creams, lotions or powders to any surgical incision. report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in weeks () dr. in weeks dr. in weeks. () please call for appointments md procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart resection of vessel with replacement, thoracic vessels transfusion of packed cells diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction dissection of aorta, thoracic irritable bowel syndrome disorders of bilirubin excretion edema 

Answer: The patient is high likely exposed to