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: patient recorded as having no known allergies to drugs attending: chief complaint: chest discomfort and dyspnea major surgical or invasive procedure: aortic valve replacement(#25 st. ) coronary artery bypass graft x 1(lima->lad) history of present illness: this 65 year-old man with a known aortic stenosis has been closely followed up and recently he was getting increasingly symptomatic with worsening echocardiogram findings of aortic stenosis and he was electively admitted for aortic valve replacement. preoperative angiogram done to evaluate the coronary arteries showed a significant lesion in the proximal left anterior descending aortic artery. past medical history: aortic stenosis hypertension hypercholesterolemia diabetes mellitus glaucoma h/o gastritis social history: pt. is single and a retired trial attorney. he lives with his two sons and several grandchildren. -etoh/tobacco/ivda family history: +cad, mother had mi in her 50's physical exam: general: 5'5", 215#, nad heent: nc/at chest: ctab, -w/r/r cardiac: rrr, sem abd: soft, nt/nd, +bs ext: warm, well-perfused pertinent results: 11:50am blood wbc-5.0# rbc-2.93*# hgb-7.5*# hct-24.2*# mcv-83 mch-25.6* mchc-31.0 rdw-14.1 plt ct-67*# 02:13am blood wbc-9.6# rbc-3.59* hgb-9.4*# hct-29.1* mcv-81* mch-26.2* mchc-32.3 rdw-14.4 plt ct-160# 06:15am blood wbc-7.1 rbc-3.89* hgb-10.4* hct-31.6* mcv-81* mch-26.7* mchc-32.8 rdw-14.0 plt ct-200 11:50am blood pt-19.2* ptt-37.0* inr(pt)-2.4 08:50am blood pt-20.3* ptt-114.2* inr(pt)-2.7 07:05am blood pt-20.3* inr(pt)-2.7 01:08pm blood urean-13 creat-1.0 cl-120* hco3-21* 06:25am blood glucose-139* urean-19 creat-1.2 na-135 k-3.6 cl-98 hco3-27 angap-14 brief hospital course: as mentioned before, pt was electively admitted and was brought to the operating room the same day where he underwent an aortic valve replacement (mechanical valve) and coronary artery bypass graft x 1. please see op note for surgical details. pt. tolerated the procedure well and was transferred to the csru in stable condition being titrated on nitroglycerin, neo-synephrine, and propofol. later on op day, pt was weaned from mechanical ventilation and propofol and was extubated. he was alert, awake, mae, and following commands. by pod #1, pt was weaned off of neo, but was still receiving nitroglycerin and nipride due to elevated blood pressure. later on this day they were both weaned to off and pt was started on b-blockers. diuretics were also initiated. on pod #2, both his chest tubes and epicardial pacing wires were removed. coumadin was initiated secondary to pt. receiving a mechanical valve. pt. had decreased breath sounds and a cxr on this day showed left lower lobe atelectasis along with effusion. pt. was stable though and transferred to the telemetry floor. on pod #3, pt had wheezes bilat and pt was encouraged to use the incentive spirometer as well as an atrovent inhaler. pt. had increase in creatinine and glucophage and captopril were held. consulted for dm management. on pod #4, pt continued to improve, but had persistant pulmonary symptoms. he was encouraged to ambulate. captopril restarted and creatinine followed. throughout the remainder of the hospital pt recovered well with no complications. he remained in the hospital to pod #8 secondary to awaiting his inr to elevate to a therapeutic level. on pod #8 he was and he was discharged home with vna services and the appropriate follow-up appointments. at time of discharge his physical exam was benign and labs were stable. medications on admission: 1. omeprazole 20mg qd 2. metformin 1000mg qd 3. toprol xl 100mg qd 4. lipitor 10mg qd 5. lisinopril 30mg qd 6. avandia 8mg qd 7. norvasc 10mg qd 8. xalatan 0.005%, one gtt ou qhs 9. timolol 1gtt od qam 10. aspirin 325mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 3. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 4. 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* 5. 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* 6. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). disp:*1 bottle* refills:*2* 8. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic daily (daily). disp:*1 bottle* refills:*2* 9. rosiglitazone maleate 8 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 11. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*1 inhaler* refills:*2* 12. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. coumadin 7.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 14. toprol xl 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 15. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 weeks. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: aortic stenosis s/p aortic valve replacement coronary artery disease s/p coronary artery bypass graft x 1 hypertension hypercholesterolemia diabetes mellitus discharge condition: good discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower, let water flow over wounds, pat dry with a towel. do not use lotions, creams, or powder on wounds. call our office for sternal drainage, temp.>101.5 followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders unspecified glaucoma other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to