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: chief complaint: asymptomatic ascending aortic aneurysm major surgical or invasive procedure: ascending aortic aneurysm repair (#32mm graft)/ on history of present illness: this is a 64 year old male with known ascending aortic aneurysm. please see full h&p from . recent ct scan shows increasing dimensions, now measuring 5.2cm x 5.5cm. he is completely asymptomatic, denying chest pain, dyspnea, and light-headedness. he is scheduled for ascending aortic aneurysm repair on . past medical history: past medical history: ascending aortic aneurysm mild aortic insufficiency chronic atrial fibrillation(aspirin only) hypertension hypercholesterolemia past surgical history: s/p excision of parathyroid adenoma s/p tonsillectomy social history: race: caucasian last dental exam: 1 month ago, dr. , , ma lives with: wife occupation: runs it organization tobacco: denies etoh: wine/day family history: father had an mi in his early 50s, lived until his early 80s. physical exam: physical exam pulse: 59 resp: 16 o2 sat: 100%ra bp: 141/103 height: 5'" weight: 210lb general: wd wn male in nad. appears stated age skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact x pulses: femoral right: mynx left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ pertinent results: 04:17am blood wbc-6.5 rbc-3.41* hgb-10.5* hct-29.7* mcv-87 mch-30.9 mchc-35.4* rdw-13.6 plt ct-225 04:20am blood wbc-8.0 rbc-3.49* hgb-10.9* hct-29.9* mcv-86 mch-31.2 mchc-36.4* rdw-13.7 plt ct-171 04:17am blood urean-20 creat-0.8 na-137 k-4.1 cl-99 04:26am blood urean-15 creat-1.0 na-135 k-3.6 cl-97 04:20am blood glucose-128* urean-12 creat-0.9 na-138 k-4.1 cl-101 hco3-29 angap-12 04:20am blood wbc-8.0 rbc-3.49* hgb-10.9* hct-29.9* mcv-86 mch-31.2 mchc-36.4* rdw-13.7 plt ct-171 11:29am blood wbc-8.9 rbc-3.50*# hgb-11.0*# hct-29.8*# mcv-85 mch-31.4 mchc-36.9* rdw-13.2 plt ct-166 03:18am blood pt-13.3 ptt-48.5* inr(pt)-1.1 11:29am blood pt-16.3* ptt-36.0* inr(pt)-1.4* 04:26am blood urean-15 creat-1.0 na-135 k-3.6 cl-97 12:59pm blood urean-17 creat-0.9 na-141 k-3.9 cl-112* hco3-21* angap-12 echocardiography report , (complete) done at 9:16:40 am preliminary referring physician information , - department of cardiac s , 2a , status: inpatient dob: age (years): 64 m hgt (in): 70 bp (mm hg): / wgt (lb): 215 hr (bpm): bsa (m2): 2.15 m2 indication: aortic valve disease. atrial fibrillation. mitral valve disease. thoracic aorta aneurysm. intraoperative tee for ascending aorta replacement and maze. icd-9 codes: 402.90, 427.31, 441.2, 424.1, 424.0 test information date/time: at 09:16 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 #: 2011aw000-0:00 machine: ie 33 u/s 3 echocardiographic measurements results measurements normal range left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - systolic dimension: 3.4 cm left ventricle - fractional shortening: 0.29 >= 0.29 left ventricle - lateral peak e': 0.12 m/s > 0.08 m/s left ventricle - ratio e/e': 7 < 15 aorta - annulus: 2.7 cm <= 3.0 cm aorta - sinus level: *4.8 cm <= 3.6 cm aorta - sinotubular ridge: *3.6 cm <= 3.0 cm aorta - ascending: *5.0 cm <= 3.4 cm aorta - arch: *3.5 cm <= 3.0 cm aorta - descending thoracic: *2.9 cm <= 2.5 cm aortic valve - lvot diam: 2.5 cm mitral valve - e wave: 0.9 m/sec findings left atrium: no spontaneous echo contrast or thrombus in the body of the laa. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. 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: moderately dilated aorta at sinus level. moderately dilated ascending aorta mildly dilated aortic arch. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. no ms. mild (1+) mr. tricuspid valve: tricuspid valve not well visualized. physiologic tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. pericardium: no pericardial effusion. 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. the rhythm appears to be atrial fibrillation. results were personally reviewed with the md caring for the patient. conclusions pre cpb: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or 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 normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the ascending aorta is moderately dilated. the aortic arch is mildly dilated. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen between the left and non coronary cusps. 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. post cpb 1. preserved -ventricular systolci function 2. tube graft identified in aortic position. 3. trace aortic regurgitation,with good leaflet excursion 4. unchanged mitral regurgitation. 5. no echocardiographic evidence of dissection in the arch/descending aorta i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: on mr. was taken to the operating room and underwent ascending aortic aneurysm repair with (#32mm graft)/ with dr.. please see operative report for further surgical details. cross clamp time:99 minutes. cardiopulmonary bypass time:122 minutes. hypothermic circulatory arrest time:24 minutes. he tolerated the procedure well and was transferred to the cvicu intubated and sedated. he weaned off pressor support, awoke neurologically intact and was extubated without incident. he was started on beta-blocker/statin/asa and diuresis. pod#1 he was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. the remainder of his postoperative course was essentially uneventful. on pod 4 he was cleared for discharge to home. all follow up appointments were advised. medications on admission: atenolol - 25 mg tablet - 1 tablet(s) by mouth at bedtime rosuvastatin - 40 mgtablet - 1 tablet(s) by mouth at bedtime aspirin 325 mg tablet - 1 tablet(s) by mouth daily multivitamin - 1 capsule(s) by mouth daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po once a day. 2. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 3. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 5. furosemide 40 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 6. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 1 weeks. disp:*14 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: nursing services discharge diagnosis: ascending aortic aneurysm (#32mm graft) on secondary: past medical history: ascending aortic aneurysm mild aortic insufficiency chronic atrial fibrillation(aspirin only) hypertension hypercholesterolemia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 phone: date/time: 1:00 cardiologist: , md phone: date/time: 3:00 wound check: at 10:00am with , at dr. office please call to schedule appointments with your primary care dr. , j. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery resection of vessel with replacement, thoracic vessels excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: other iatrogenic hypotension pure hypercholesterolemia unspecified essential hypertension thoracic aneurysm without mention of rupture atrial fibrillation aortic valve disorders 

Answer: The patient is high likely exposed to