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: penicillins attending: chief complaint: shortness of breath major surgical or invasive procedure: 1. aortic valve replacement with a 27-mm mosaic ultra aortic valve bioprosthesis. 2. pericardial reconstruction with core matrix pericardial matrix. history of present illness: 59yo man known as with chest pain and progressive doe past week. presented to hospital in rapid afib and hypotensive. admitted to hospital last year with as and decided not to pursue surgical option att that time, no followup with cardiologist. past medical history: aortic stenosis atrial fibrillation human immunodeficiency virus hypertension left leg deep vein thrombosis social history: lives with: wife occupation:disabled tobacco: none etoh: 1 vodka/day family history: positive for cad physical exam: temp 98.1 pulse:140 af resp: 22 o2 sat: 95%-3lnp b/p right: 110/70 left: height: 72" weight: 101 kg general: skin: dry intact diaphoretic heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally -rales in bases heart: rrr irregular murmur-soft blowing murmur abdomen:soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: no varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 1+ left: 1+ carotid bruit right: no left: no pertinent results: pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the right atrium is dilated. no atrial septal defect is seen by 2d or color doppler. the right ventricular cavity is moderately dilated with moderate global free wall hypokinesis. 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 mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on mr. before cpb. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including milrinone 0.25mcg/kg/min, levophed 0.15mcg/kg/min. rv mild global hypokinesis. lv ef 25 to 30% on inotropes. there is mild improvement in overall contractility of the lv> the aortic bioprosthesis is well seated and functioning well and the residual peak and mean 25 and 15 mm of hg. thoracic aorta is intact. mild mr . 06:30am blood wbc-4.7 rbc-3.12* hgb-10.1* hct-30.0* mcv-96 mch-32.4* mchc-33.8 rdw-13.8 plt ct-144* 01:30am blood wbc-5.1 rbc-3.14* hgb-10.2* hct-30.1* mcv-96 mch-32.4* mchc-33.8 rdw-14.1 plt ct-122* 05:30am blood pt-15.5* inr(pt)-1.4* 12:45pm blood pt-14.7* inr(pt)-1.3* 01:30am blood pt-13.6* ptt-31.7 inr(pt)-1.2* 04:24am blood pt-13.2 ptt-30.4 inr(pt)-1.1 06:30am blood glucose-97 urean-21* creat-1.0 na-134 k-4.2 cl-98 hco3-28 angap-12 brief hospital course: the patient was admitted on for preoperative workup. he was cleared by dental. he underwent cardiac catheterization and coronary angiography which revealed normal coronary arteries. pre-operative echo revealed ef 10-20%, consistent with chronic systolic heart failure. aortic valve area was less than 0.5 square centimeteres. chest ct was performed and revealed no significant ascending aorta calcification. he was brought to the operating room on where the patient underwent aortic valve replacement with a 27mm mosaic ultra porcine tissue valve. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. ejection fraction did improve to 30% post-operatively. vancomycin was used for surgical antibiotic prophylaxis given the duration of his preoperative stay. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamics were maintained with vasopressin, levophed and milrinone. hemodynamics improved and all drips were weaned. he did develop new onset atrial fibrillation just prior to surgery. he was started on amiodarone for this, as well as anti-coagulated with coumadin. coreg and ace inhibitor were initiated given the history of heart failure. the patient desaturated to the low 80s while sleeping. sleep medicine was consulted. the patient was unable to cooperate with informal sleep study while inpatient. it is recommended that he follow up with dr. of , nh as an outpatient. in the meantime, it is recommended that he be treated with home oxygen at 4lpm while sleeping. he was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 6 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home in good condition with appropriate follow up instructions. the patient did not have a primary care physician at the time of admission. we have spoken to the daughter, and she will arrange for a pcp on discharge. coumadin/inr will be managed by cardiac surgery until the patient arranges for pcp. medications on admission: lopressor norvir prezista raltegravir prilosec asa 81 qd colace 100 zocor 20 qd bactrim ds 1 tab discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. captopril 12.5 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 5. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 1 week, then 400mg daily x 1 week, then 200mg daily until further instructed. disp:*120 tablet(s)* refills:*2* 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 9. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po twice a day. 10. etravirine 100 mg tablet sig: one (1) tablet po twice a day. 11. raltegravir 400 mg tablet sig: one (1) tablet po twice a day. 12. ritonavir 100 mg tablet sig: one (1) tablet po twice a day. 13. warfarin 2.5 mg tablet sig: one (1) tablet po once a day: 2.5mg every other day alternating with 5mg on the other days. disp:*30 tablet(s)* refills:*2* 14. outpatient lab work serial pt/inr dx: atrial fibrillation goal inr 2-2.5 first draw tuesday, 15. dme, oxygen home oxygen for portability 4lpm while sleeping dx: desaturated to 83% on 2lpm discharge disposition: home with service facility: home care discharge diagnosis: aortic stenosis, atrial fibrillation s/p aortic valve replacement, maze pmh: chronic systolic heart failure human immunodeficiency virus hypertension left leg deep vein thrombosis discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments: surgeon dr. in 2 weeks establish primary care physician on morning cardiologist dr. ( in 4 weeks dr. ( arrange for follow up sleep study have inr drawn by vna on tuesday with results to dr. office procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization open and other replacement of aortic valve with tissue graft other repair of heart and pericardium diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified obstructive sleep apnea (adult)(pediatric) anemia, unspecified unspecified essential hypertension atrial fibrillation aortic valve disorders atrial flutter 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 personal history of venous thrombosis and embolism congenital insufficiency of aortic valve acute on chronic systolic heart failure asymptomatic human immunodeficiency virus [hiv] infection status 

Answer: The patient is high likely exposed to