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 / percocet / sulfa (sulfonamides) attending: chief complaint: fatigue and mild doe for approx. one year major surgical or invasive procedure: s/p mvr(31mm perimount bioprosthesis)/cabgx1(svg->lad)/maze/ligation of history of present illness: 74 yo male with known mr who has been managed medically in the past. he is now referred for surgical repair of his mitral valve by dr. . he was admitted earlier this week for heparin bridge while off coumadin prior to operation. cardiac cath in . revealed 20% lm, 60% lad, 50% cx, 60% rca, and ef of 72%, with a regurgitant fraction of 33%. prior echo showed moderate to severe mr, ef 60-70%, and elevated pa pressures. past medical history: afib elev. chol. remote renal calculus htn mr social history: electrical contractor, lives with wife quit smoking 35 years ago ( was smoking up to 3 ppd); has one drink per day family history: non-contributory physical exam: hr 74 rr 18 114/60 5'" 192 # pertinent results: 06:43am blood wbc-13.5* rbc-5.17 hgb-17.1 hct-50.1 mcv-97 mch-33.0* mchc-34.1 rdw-13.7 plt ct-229 05:05am blood wbc-15.3* rbc-3.41* hgb-11.0* hct-33.0* mcv-97 mch-32.3* mchc-33.3 rdw-15.1 plt ct-390 05:05am blood pt-19.2* inr(pt)-2.6 05:05am blood plt ct-390 06:43am blood pt-14.1* ptt-23.7 inr(pt)-1.4 05:20am blood glucose-89 urean-22* creat-1.0 na-138 k-3.6 cl-95* hco3-33* angap-14 01:30pm blood urean-18 creat-0.9 cl-108 hco3-23 12:10pm blood alt-55* ast-30 ld(ldh)-422* alkphos-82 amylase-279* totbili-1.5 12:10pm blood lipase-88* 12:10pm blood albumin-3.2* brief hospital course: admitted and had mvr/cabg x1 /maze and ligation of .transferred to csru in stable condition on titrated neo and propofol drips. he was extubated later that evening and was alert and oriented, and neo was weaned off. echo postop showed no tamponade and ef intact per report. chest tubes were removed on pod #2 and he was a- paced. he went into afib and amiodarone was started. bs were diminished on pod #3, and aggressive pulm toilet was encouraged. transferred to the floor on pod #4, and foley, pacing wires and cvl were removed. diuresis continued and coumadin was restarted on pod #4. patient continued to increase his activity level slowly. on pod #6, his inr bumped to 7.0, and then 7.5. he had some arm heaviness at that time, so neuro consult was done (negative), including ct scan ( also negative). carotid us also showed no significant disease. repeat inr later that day was 2.3. he was hemodynamically stable and was 94% on ra sat. ua sent and cxr done for elevated wbc. inr on day of discharge 3.4 blood draw on (tues, , sat draws) with vna, and coumadin dosing with dr. as done pre-op. medications on admission: tegretol 200 mg atacand 4 mg daily digoxin 0.125 mg tue, , sat, sun synthroid 125 mcg tues, thurs, sat, sun; and 188 mcg mon, wed, friday atenolol 50 mg daily protonix 40 mg daily asa 81 mg daily hctz 25 mg tues, thurs, sat, sun, and 12.5 mg on mon, wed, friday lasix 20 mg m-w-f coumadin 2 mg m-w-f, and 2.5 mg tue, , sat, sun lipitor 80 mg daily trusopt one drop each eye nasonex 50 mcg 2 sprays each side daily discharge medications: 1. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. 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* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed. disp:*50 tablet(s)* refills:*0* 6. levothyroxine sodium 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. carbamazepine 200 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. dorzolamide 2 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*1 bottle* refills:*2* 10. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. warfarin 1 mg tablet sig: one (1) tablet po at bedtime for 1 days: take as directed by dr. inr goal 2-2.5. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: mitral regurgitation afib elev. chol. remote renal calculus s/p mvr/cabg/maze/ ligation of discharge condition: good. discharge instructions: shower, wash incision with soap and water and pat dry. no lotions, creams or powders or baths. call with redness or drainage from incision, fever, or weight gain more than 2 pounds in one day or five in one week. no heavy lifting greater than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. blood draw tomorrow with vna, results to be sent to dr. , and coumadin dosing per dr. . procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach (aorto)coronary bypass of one coronary artery open and other replacement of mitral valve with tissue graft transfusion of packed cells transfusion of platelets diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation personal history of tobacco use disturbance of skin sensation 

Answer: The patient is high likely exposed to