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 / codeine attending: chief complaint: left shoulder pain major surgical or invasive procedure: replacement of ascending aorta (26mm hemashield dacron graft) history of present illness: 46 yo m with h/o bicuspid aortic valve went to osh ed with 1 day of left shoulder pain and left arm and hand numbness. ct chest showed 5.1 cm ascending aorta. past medical history: chronic shoulder pain, +opiate abuse, +tob, aortic dilitation social history: 1.5 ppd x 20years - etoh - drug use operates heavy machinery family history: nc physical exam: appears in pain lungs ctab cv rrr 2/6 sem abd soft nt, no organomegaly extrem wihtout edema l shoulder and hand tender, with limited range of motion palpable pulses throughout pertinent results: 06:45am blood hct-22.3* 06:25am blood wbc-11.0 rbc-2.41* hgb-7.7* hct-23.2* mcv-96 mch-31.9 mchc-33.3 rdw-15.6* plt ct-218# 02:43am blood wbc-12.5* rbc-2.13* hgb-7.1* hct-20.3* mcv-95 mch-33.5* mchc-35.1* rdw-14.2 plt ct-142* 06:25am blood plt ct-218# 12:25am blood pt-13.6* ptt-28.5 inr(pt)-1.2* 06:45am blood urean-11 creat-0.8 k-4.1 06:25am blood glucose-153* urean-14 creat-0.8 na-140 k-3.6 cl-105 hco3-26 angap-13 cxr compared with one day earlier and allowing for technical differences, i doubt significant interval change. again seen are patchy opacities throughout both lungs and left lower lobe collapse and/or consolidation, with obscuration of the medial portion of the left hemidiaphragm. the patient is status post sternotomy, with skin staples. the cardiomediastinal silhouette is widened but unchanged. no gross effusion is identified. a right ij sheath is present, stable in position. no pneumothorax is detected. brief hospital course: he was seen by orthopedics for his shoulder pain. aspiration was performed and was negative. shoulder mri showed mild tendinopathy of the supraspinatus tendon without tear. he was seen by psychiatry for a question of drug seeking behavior, with recommendations to add ativan and consult the pain service, who recommended neurontin, and nsaids, and increased narcotics. cardiac catheterization on shoee no flow limiting cad. he was seen by neurology for transient visual loss, a head and neck cta was negative, and carotid u/s was negative as well. he was cleared by dental for surgery. he was taken to the operating room on where he underwent a replacement of his ascending aorta. he was taken back to the operating room later that same day for bleeding. he was extubated later that same day. he continued to be seen by pain service post op and a pca was started. he was transferred to the floor on pod #3. pain service recommended po pains meds of neurontin, motrin, percocet and long acting oxycodone. he received 1 unit prbcs for an hct of 20. he was seen in consulatation by electrophysiology for some pauses and bradycardia to the 30s which were felt to be vagal, recommendations included of hearts monitor and ep follow up as outpatient. he was also seen by opthamology post op again for transient right eye blurriness. exam was negative and artificial tears were prescribed. he was ready for discharge home on pod #6. medications on admission: none. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. 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:*0* 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. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 9. nicotine 2 mg gum sig: one (1) gum buccal q1h (every hour) as needed. disp:*qs 1 month* refills:*0* 10. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 11. tizanidine 2 mg tablet sig: one (1) tablet po tid (3 times a day) as needed. disp:*50 tablet(s)* refills:*0* 12. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*60 tablet(s)* refills:*0* 13. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). disp:*14 tablet sustained release 12 hr(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: ascending aortic aneurysm chronic shoulder pain opiate abuse tobacco abuse aortic dilatation discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no heavy lifting or driving until follow up with surgeon. followup instructions: provider: , r follow-up appointment should be in 1 week provider: , . follow-up appointment should be in 1 month dr. 4-6 weeks procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters resection of vessel with replacement, thoracic vessels combined right and left heart angiocardiography transfusion of packed cells control of hemorrhage following vascular surgery diagnoses: tobacco use disorder thoracic aneurysm without mention of rupture hemorrhage complicating a procedure 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 congenital insufficiency of aortic valve diastolic heart failure, unspecified pain in joint, shoulder region 

Answer: The patient is high likely exposed to