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: ivp dye, iodine containing attending: chief complaint: increasing fatigue major surgical or invasive procedure: endovascular stent repair history of present illness: mr. is a 72 year old male who underwent a type a aortic dissection repair and pericardial aortic valve replacment in . since that time, he has been followed by surveillance ct scans. his most recent ct scan was from which was notable for an increase of the size of the false lumen at the level of aortic arch and azygos arch, measuring 5.2 cm, compared to the prior study, which measures 3.8 cm. the ct scan also showed a persistent dissection starting from the superior aspect of the graft extending all the way through the left iliac artery. there was also a dissection of the right in the innominate artery, with extension of thrombus into the false lumen. based on the increase in the size of false lumen of aortic arch, immediate clinical and surgical attention was recommended. at time of admission, he was complaining of increasing fatigue. he denied chest pain, doe, palpitations, orthopnea, pnd, pedal edema, lightheadedness and syncope. he wasadmitted several days prior to surgical intervention for routine preoperative workup, reversal of warfarin and heparinzation. past medical history: history of aortic dissection - status post repair and pericardial aortic valve replacement in , chronic atrial fibrillation/flutter, hypercholesterolemia, s/p appendectomy, s/p tonsillectomy social history: married. retired. lives with his wife. denies tobacco. occasional etoh. family history: non-contributory physical exam: vitals: t 97.8 bp 110-130/57, hr 68, rr 16, sat 100%on room air general: well developed male in no acute distress heent: oropharynx benign, perrl, eomi neck: supple, no jvd, heart: irregular rate, normal s1s2, 3/6 systolic murmur which radiates to carotid region lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, trace edema, no varicosities pulses: 1+ distally neuro: nonfocal pertinent results: 05:22pm blood wbc-7.0 rbc-4.40* hgb-13.2*# hct-38.1* mcv-87 mch-30.0 mchc-34.7 rdw-14.1 plt ct-192 05:22pm blood pt-14.2* ptt-24.2 inr(pt)-1.3* 05:22pm blood glucose-90 urean-22* creat-1.0 na-136 k-4.5 cl-99 hco3-28 angap-14 05:22pm blood %hba1c-6.0* -done -done intraop tee: pre cpb: descending thoracic aorta is dilated and a dissection flap is visualized origination in the arch and continuing into the descending thoracic aorta. there ia a larger false lumen with hematoma and a smaller true lumen with flow on color flow doppler. a tube graft is visualized in the ascending aortic positon, no abnormal compression or flow pattern is seen in the ascendin gaortic grraft. the left atrium is markedly dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. no thrombus/mass is seen in the body of the left atrium. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no spontaneous echo contrast is seen in the body of the right atrium. left ventricular wall thicknesses and cavity size are normal. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (mobile) atheroma in the aortic root the descending thoracic aorta is moderately dilated. the descending thoracic aorta is markedly dilated. a mobile density is seen in the aortic arch consistent with an intimal flap/aortic dissection. a mobile density is seen in the descending aorta consistent with an intimal flap/aortic dissection. the aortic wall is thickened consistent with an intramural hematoma. a bioprosthetic aortic valve prosthesis is present. no masses or vegetations are seen on the aortic valve. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. post cpb: preserved lv systolic function. mild to moderate mr. mild to moderate tr and mildly depressed rv systolic function. no other change. lenis: negative for proximal deep venous thrombosis bilateral lower extremities. brief hospital course: mr. was admitted and underwent routine preoperative evaluation. workup was unremarkable and he was maintained on intravenous heparin. on , the cardiac and vascular services performed an endovascular stent graft repair to aortic arch and descending aorta along with reimplantation of the left subclavian, inominate, right and left commom carotids and femoral to axillary bypass graft. for further surgical details, please see seperate dictated operative note. following the operation, he was brought to the csru. within 24 hours, he awoke neurologically intact and was extubated. he weaned from inotropic support without difficulty. he maintained stable hemodynamics and transferred to the sdu on postoperative day two. warfarin was resumed. he was intermittently transfused with packed red blood cells to maintain hematocrit near 30%. on postoperative day five, the hematology service was consulted for new onset purpura over the ankles bilaterally associated with pain. given concern for coumadin induced skin necrosis, hit, low grade dic and/or cholesterol emboli, warfarin was stopped. vitamin k and ffp was given to replace coagulation factors. all heparin products continued to be withheld, and intravenous argatroban was initiated. a lower extremity ultrasound was negative for deep vein thrombosis. hit assay was negative for pf4 heparin antibodies. daily coags were monitored closely along with platelet count and fibrinogen levels. over several days, his purpura lesions improved as did his pain. given the slow rise in platelet count(dropped as low as 89k) and rise in fibrinogen, it most likely appeared to be low grade dic. low dose warfarin was eventually resumed as argatroban was continued. chest tubes were eventually removed over several days. he was maintained on amiodarone and remained mostly in a normal sinus rhythm. with medical therapy and physical therapy, he continued to make clinical improvements. on post-op day #11, the patient's foley catheter was successfully removed after multiple failures to void. on post-op day #13, based on the recommendations of the hematology service, the argatroban was stopped, and lovenox was started. the vancomycin was also stopped, and coumadin administration was continued with a therapeutic inr. on post-op day #14, the patient was discharged home in stable condition. medications on admission: diovan 80 qd, lipitor 10 qd, toprol xl 12.5 qd, lanoxin 0.125 qd, warfarin, multivitamins, benadryl 50 qd, atarax discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). 3. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 9. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 10. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po qhs prn (). 11. melatonin oral 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 13. warfarin 1 mg tablet sig: five (5) tablet po daily (daily): to be dosed daily; goal inr 2-2.5. 14. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). 15. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 16. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 17. enoxaparin 100 mg/ml syringe sig: one (1) dose subcutaneous (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: aortic dissection of descending aorta - s/p endovascular stent repair, low grade dic(postop)with new skin lesions, history of aortic dissection - status post repair and pericardial aortic valve replacement in , chronic atrial fibrillation/flutter, hypercholesterolemia, s/p appendectomy, s/p tonsillectomy discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks. vascular surgeion, dr. 4 weeks. local pcp weeks. local cardiologist in weeks. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart endovascular implantation of other graft in abdominal aorta transfusion of packed cells other repair of vessel transfusion of other serum endovascular implantation of graft in thoracic aorta diagnoses: pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified atrial fibrillation defibrination syndrome iatrogenic pneumothorax long-term (current) use of anticoagulants retention of urine, unspecified heart valve replaced by transplant dissection of aorta, thoracoabdominal other malaise and fatigue gangrene 

Answer: The patient is high likely exposed to