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: sulfa (sulfonamide antibiotics) attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement (25mm mosaic porcine), coronary artery bypass graft x1 (svg-pda) history of present illness: 81 year old white male with hypertension,hyperlipidemia, and known aortic stenosis with complaints of severe dyspnea on exertion. echo showed ef 65-70% with severe aortic stenosis with peak gradient of 69mmhg and mean 47mmhg. pt is referred today for preop cath and cardiac surgery evaluation for aortic valve replacment. past medical history: htn hyperlipidemia aortic stenosis nasal polyps pernicious anemia shingles past surgical history: s/p 3 molars extracted s/p tonsillectomy social history: family history:mother died scd age 86, father died age 69 chf race:caucasian lives with:wife occupation:retired iron worker tobacco:denies etoh:denies rec drugs: denies physical exam: pulse:52 resp:13 o2 sat:98%ra b/p right:176/82 left:180/86 height: 5'7" weight:179 lbs general: comfortable skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact. moves 4 ext pulses: femoral right: drsg :palp dp right:palp left:palp pt : left: radial right:palp left:palp carotid bruit right: - left:- pertinent results: 06:05am blood wbc-11.9* rbc-3.05* hgb-8.0* hct-24.6* mcv-81* mch-26.2* mchc-32.4 rdw-16.3* plt ct-109* 01:43pm blood pt-14.3* ptt-37.4* inr(pt)-1.2* 06:30am blood glucose-132* urean-17 creat-0.9 na-139 k-3.6 cl-106 hco3-27 angap-10 , e m 81 radiology report chest (portable ap) study date of 11:36 am , r. csurg csru 11:36 am chest (portable ap) clip # reason: r/o ptx medical condition: 81 year old man s/p avr/cabg and chest tube removal reason for this examination: r/o ptx final report ap chest, 11:49 a.m. history: status post avr and cabg. chest tubes removed. impression: pa and lateral chest compared to :30 a.m. there may be a very tiny volume of pleural air at the apices of both hemithoraces. no appreciable pleural effusion. bibasilar atelectasis, severe on the left, moderate on the right has worsened since following extubation. cardiomediastinal silhouette has a normal postoperative appearance. the sternal wound lucency is more evident following removal of midline drains. dr. approved: wed 7:27 pm echocardiography report , (complete) done at 12:28:41 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 81 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. left ventricular function. preoperative assessment. prosthetic valve function. icd-9 codes: 440.0, 424.1 test information date/time: at 12:28 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw5-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - ejection fraction: >= 55% >= 55% aorta - annulus: 2.4 cm <= 3.0 cm aorta - sinus level: 3.3 cm <= 3.6 cm aorta - sinotubular ridge: 3.0 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - descending thoracic: 2.4 cm <= 2.5 cm aortic valve - peak velocity: *4.0 m/sec <= 2.0 m/sec aortic valve - peak gradient: *66 mm hg < 20 mm hg aortic valve - mean gradient: 33 mm hg aortic valve - lvot diam: 2.3 cm findings right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: simple atheroma in descending aorta. aortic valve: severely thickened/deformed aortic valve leaflets. severe as (area 0.8-1.0cm2). mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. conclusions prebypass no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. postbypass there is a well seated, well functioning bioprosthesis in the aortic position. there is a trace perivalvular leak. overall biventricular systolic function remains preserved. the study is otherwise unchanged from prebypass. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:53 brief hospital course: mr. is an 81-year-old male with worsening symptoms related to critical aortic stenosis who was found to have a pda lesion in addition to his aortic valve disease. he was taken to the operating room on for an aortic valve replacement (mosaic porcine) coronary artery bypass surgery x1 (saphenous vein graft to posterior diagonal). please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. he was weaned and extubated and chest tubes and invasive lines were removed per cardiac surgery guidelines. he was started on betablockers and aggresively diuresed. he was transferred from the icu to the step down unit on pod#2. he was evaluated by physical therapy and cleared for discharge to home with home pt on pod#4. medications on admission: hctz 50mg po daily simvastatin 20mg po daily flunisolide 29mcg 2 sprays each nostril asa 81mg po daily mvi i tab po daily vit b12 injection monthly discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 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:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 4. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. hydrochlorothiazide 50 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: aortic valve replacement (25mm mosaic porcine), coronary artery bypass graft x1 (svg-pda) htn, hyperlipidemia, aortic stenosis, nasal polyps, pernicious anemia, shingles , s/p 3 molars extracted , s/p tonsillectomy- discharge condition: good discharge instructions: monitor wounds for signs of infection. these include redness, drainage or increased pain. report any fever greater then 100.5. report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. no lotions, creams or powders to incision until it has healed. please shower daily. no bathing or swimming for 1 month. no lifting greater then 10 pounds for 10 weeks from date of surgery. no driving for 1 month or while taking narcotics for pain. call with any questions or concerns followup instructions: follow up with dr. in 4 weeks folllow up with dr. in 2 weeks follow up with dr. in 2 weeks please call and schedule the following appointments. procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension aortic valve disorders other and unspecified hyperlipidemia pernicious anemia 

Answer: The patient is high likely exposed to