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: no known allergies / adverse drug reactions attending: chief complaint: worsening sob, progressive aortic stenosis, worsening, congestive heart failure, decreased activity tolerance major surgical or invasive procedure: avr(23mm tissue),cabgx2(lima-lad,svg-pda) history of present illness: active 86 y.o. gentleman with severe aortic stenosis, 0.8 cm2. over the past year he has developed significant progression of shortness of breath, now only able to walk couple hundred yards. his most recent echo also reveals slightly declining lv function. he is now considering surgical intervention and presents for right and left heart cath. past medical history: coronary artery disease aortic stenosis silent mi per patient report dyspnea prostate ca s/p xrt hypercholesterolemia benign prostatic hypertrophy erectile dysfunction thyroid nodule carpal tunnel syndrome mild asthma gerd psh: cataract surgery social history: lives with: wife in contact: wife phone # occupation: retired engineer cigarettes: smoked no other tobacco use: none etoh: none illicit drug use: none family history: non-contributory physical exam: pulse: 88 resp: 18 o2 sat: 100% b/p right: 133/65 left: height: 5'5" weight:150 lbs general: nad skin: dry intact heent: perrla - recent bilat cataract surgery in the past 6 months eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade _iii/vi_____ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right:+2 left:+2 dp right: +2 left:+2 pt : +2 left:+2 radial right: cath site left:+2 carotid bruit right: radiating left:radiating pertinent results: admission labs: 10:18am hgb-10.5* calchct-32 10:18am glucose-114* lactate-1.3 na+-138 k+-4.1 cl--103 02:25pm pt-15.9* ptt-35.7* inr(pt)-1.4* 02:25pm plt count-247 02:25pm fibrinoge-293 03:40pm wbc-25.5*# rbc-3.29* hgb-10.3*# hct-31.0* mcv-94 mch-31.2 mchc-33.1 rdw-12.4 03:40pm urea n-17 creat-1.0 sodium-141 potassium-3.7 chloride-109* total co2-22 anion gap-14 discharge labs: echocardiography report conclusions pre bypass the left atrium is dilated. mild spontaneous echo contrast 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 thrombus is seen in the left atrial appendage. 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 low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate (2+) mitral regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is receiving epinephrine by infusion and is atrially paced. there is normal biventricular systolic function. there is a bioprosthesis in the aortic position. it appears well seated. the leaflets appear to be moving normally in limited views. there is trace valvular aortic regurgitation. at at cardiac output of 6 liters/minute, there is a maximum gradient of 29 mmhg and a mean gradient of 14 mmhg across the aortic valve. the effective orifice area is about 1.4 cm2. the mitral regurgitation is much improved, now trace-mild. the thoracic aorta is intact after decannulation. brief hospital course: patient is 86yo man with known aortic stenosis and coronary artery disease who was a direct admission to the operating room aortic valve replacement and coronary bypass grafting on , see operative not for details. in summary he had: aortic valve replacement with # 23 stjude porcine vlave and coronary bypass grafting x2 with left internal mamary to left anterior descending artery and reverse saphenous vein graft to posterior diagonal artery. his bypass time was 105 minutes with a crossclamp time of 80 minutes. he tolerated the operation well and was transferred from the operating room to the cardiac surgery icu in stable condition on epinepherine and propofol infusions. in the immediate post-op period he was hemodynamically stable, his anesthesia was reversed, he awoke neurologically intact and was extubated. he was weaned from his inotropes and remained hemodynamically stable throughout the night of surgery. on pod1 he was started on diuretics and bblockers and transferred to the stepdown floor. all tubes lines and drains were removed per cardiac surgery protocols. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. he did have an episode of rapid atrial fibrillation which converted to sinus rhythm with titration of beta blocker. by the time of discharge on pod #4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged rehab epoc of in good condition with appropriate follow up instructions. medications on admission: atorvastatin - 10 mg tablet daily diclofenac sodium - 0.1 % drops- 1 (one) drop in the left eye twice a day omeprazole - 20 mg capsule, delayed release(e.c.) daily prednisolone acetate -1 % drops, suspension - 1 (one) drop in the left eye twice a day aspirin -81 mg tablet daily sennosides-docusate sodium .6 mg-50 mg tablet - 1 daily discharge medications: 1. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 2. diclofenac sodium 0.1 % drops sig: one (1) ophthalmic (2 times a day). 3. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours). 12. hydromorphone 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain refractory to ultram. disp:*45 tablet(s)* refills:*0* 13. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 14. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. 15. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 7 days. 16. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). discharge disposition: extended care facility: senior healthcare - discharge diagnosis: s/p avr(23mm tissue),cabgx2(lima-lad,svg-pda) pmh: aortic stenosis, silent mi per patient report, dyspnea, prostate ca s/p xrt, hypercholesterolemia, bph, cad, erectile, dysfunction, thyroid nodule, carpal tunnel syndrome, mild asthma, gerd, s/p cataract surgery discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned incisional pain managed with tramadol incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: , md :: 1:15 in the medical office building cardiologist: , md phone:: 3:40 please call to schedule appointments with your primary care dr., s. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft central venous catheter placement with guidance diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified atrial fibrillation personal history of malignant neoplasm of prostate asthma, unspecified type, unspecified aortic valve disorders hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) old myocardial infarction personal history of irradiation, presenting hazards to health impotence of organic origin carpal tunnel syndrome nontoxic uninodular goiter chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to