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: keflex / erythromycin base attending: chief complaint: chest discomfort major surgical or invasive procedure: aortic valve replacement (25mm ultra porcine), coronary artery bypass graft history of present illness: mr. is a 77 year old gentleman who presented to the emergency department with left arm and left facial weakness and numbness accompanied by chest discomfort. these symptoms were relieved with nitroglycerin. work-up for this complaint revealed aortic stenosis and coronary artery disease, for which he was referred to cardiac surgery. past medical history: reflux left facial neuralgia turp 10 years ago glaucoma left eye with lens replacement detached retina right eye social history: mr. works as a consultant. family history: mr. brother passed away at age 16 of heart disease. physical exam: at the time of discharge mr. was awake, alert, and oriented. his lungs were clear to ausculatation bilaterally. his heart was of regular rate and rhythm. his abdomen was soft, non-tender, and non-distended. his incision was clean, dry, and intact. his sternum was stable. pertinent results: 06:03am blood wbc-19.3* rbc-3.53* hgb-10.6* hct-30.5* mcv-86 mch-30.1 mchc-34.8 rdw-13.7 plt ct-169 06:03am blood glucose-117* urean-18 creat-1.1 na-134 k-4.5 cl-102 hco3-19* angap-18 05:30am blood alt-22 ast-31 ld(ldh)-214 alkphos-94 totbili-0.5 05:25am blood wbc-10.7 rbc-3.39* hgb-10.2* hct-28.8* mcv-85 mch-30.0 mchc-35.4* rdw-13.4 plt ct-319# 05:25am blood glucose-96 urean-16 creat-1.1 na-136 k-4.1 cl-104 hco3-23 angap-13 , m 77 radiology report chest (pa & lat) study date of 3:53 pm , fa6a sched chest (pa & lat) clip # reason: increase size in pneumo post chest tube removal medical condition: 77 year old man with s/o left ct removal / previos small apical pnuemo / please evaluate reason for this examination: increase size in pneumo post chest tube removal final report history: to evaluate size of pneumothoraces. findings: in comparison with the earlier study of this date, there is no change in the degree of pneumothorax bilaterally. the left chest tube has been removed. there is some increasing elevation of the left hemidiaphragmatic contour. dr. approved: sat 5:23 pm echocardiography report , (complete) done at 2:37:37 pm final referring physician information , c. , status: inpatient dob: age (years): 77 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. coronary artery disease. left ventricular function. preoperative assessment. shortness of breath. icd-9 codes: 440.0, 424.1 test information date/time: at 14:37 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 #: 2008aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.6 cm <= 5.6 cm left ventricle - ejection fraction: >= 55% >= 55% aorta - annulus: 2.3 cm <= 3.0 cm aorta - sinus level: 3.0 cm <= 3.6 cm aorta - sinotubular ridge: 2.6 cm <= 3.0 cm aorta - ascending: *3.5 cm <= 3.4 cm aorta - descending thoracic: 2.0 cm <= 2.5 cm aortic valve - peak velocity: *4.4 m/sec <= 2.0 m/sec aortic valve - peak gradient: *80 mm hg < 20 mm hg aortic valve - mean gradient: 75 mm hg aortic valve - lvot pk vel: 0.80 m/sec aortic valve - lvot diam: 1.8 cm aortic valve - valve area: *0.5 cm2 >= 3.0 cm2 findings right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal lv cavity size. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: bicuspid aortic valve. severely thickened/deformed aortic valve leaflets. severe as (aova <0.8cm2). mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. of the mitral chordae (normal variant). no resting lvot gradient. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. physiologic tr. 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. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic 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. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated with normal free wall contractility. there are simple atheroma in the descending thoracic aorta. the aortic valve is bicuspid. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. postbypass preserved biventicular systolic function. there is a well seated, well functioning bioprosthesis in the aortic position. no aortic insufficeincy is visualized. 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 15:02 brief hospital course: mr. a aortic valve replacement with a 25 mm ultra porcine valve and coronary artery bypass graft times one (lima to lad) on . he tolerated this procedure well and was able to be transferred in critical but stable condition to the surgical intensive care unit. he was placed on amiodarone for atrial fibrillation and converted first to a junctional and then sinus rhythm. he was extubated and his vasoactive drips were weaned. chest tubes were removed. he was transferred to the surgical step-down unit. his wires were removed and he was seen in consultation by the physical therapy service. the remainder of his hospital course was essentially unremarkable. he progressed well and on pod#6 was discharged to home with vna. he was instructed on all neccessary follow up appointments. medications on admission: aciphex 20mg daily aspirin 81mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). :*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). :*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. :*45 tablet(s)* refills:*0* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*0* 5. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). :*30 tablet(s)* refills:*0* 6. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg po bid x 6 days, then decrease to 200mg po bid x7 days, than decrease to 200 mg po once daily x 7 days md. :*120 tablet(s)* refills:*0* 7. aciphex 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (). :*30 tablet, delayed release (e.c.)(s)* refills:*0* discharge disposition: home with service facility: vna of greater / discharge diagnosis: aortic stenosis, coronary artery disease discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please see in weeks. please see dr. in weeks. please see dr. in weeks. procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart cardioplegia open and other replacement of aortic valve with tissue graft diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome atrial fibrillation aortic valve disorders iatrogenic pneumothorax surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other facial nerve disorders 

Answer: The patient is high likely exposed to