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: back pain major surgical or invasive procedure: replacement of ascending and arch aorta history of present illness: 52 y/o male who presented with acute back pain to osh. cta showed an ascending and descending aortic dissection. pt was med-flighted to for surgical care. chest cta at osh: type a dissection involving the entire thoracic and abdominal aorta. dissection extends into the right innominate, both common carotid arteries, and the left subclavian. the dissection extends to involve the superior mesenteric artery. the right renal is supplied by the true lumen. the left renal is supplied by the false lumen. the aneurysm extends to involve both common iliac arteries. the right common iliac artery is supplied by the true lumen. the left common iliac artery is supplied by a nonfilling false lumen which is severly compressing the true lumen of the left common iliac artery. past medical history: elevated cholesterol social history: fire fighter. +tobacco: 1ppd x 15 yrs. +eoth: /day w/ more on weekends family history: non-contributory physical exam: vs: 62 109/56 22 gen: a&o x 3 heent: perrl, eomi, nc/at lungs: ctab cv: rrr w/ +sem abd: soft, nt/nd, +bs ext: strong pulses of right radial and right pt/dp. 1+ left dp/pt. no pulse noted at left radial pertinent results: echo: pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 2.right ventricular chamber size and free wall motion are normal. 3.the aortic root is moderately dilated at the sinus level. the ascending aorta is moderately dilated. the aortic arch is moderately dilated. the descending thoracic aorta is mildly dilated. dissection flap noted in the ascending aorta extending into the arch , into the left subclavian and the descending aorta. flow detected in the true and false lumens. 4. there are three aortic valve leaflets. there is no aortic valve stenosis. moderate(2+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric. 5.the mitral valve leaflets are structurally normal. trivial mitral regurgitation is seen. 6. there is a trivial/physiologic pericardial effusion. post-bypass: 1. the anterior wall, septum and anterior septum are mildy hypokinetic (mid esophageal views). rv function is unchanged. 2. graft material seen in the ascending aorta. the distal arch has a dissection flap that extends into the left subclavian artery. descending aortic dissection persists with flow seen in true and false lumens. 3. trace aortic insufficiency present. 4. there is mild mitral regurgitation. ue u/s: no evidence of any dvt in either upper extremity. cxr: the left basilar pleural effusion is stable and the smaller right-sided basilar pleural effusion has slightly decreased as compared to two days ago. the cardiomediastinal silhouette, mediastinal clips and sternotomy wires are unchanged. the lungs remain otherwise clear. there are clips in the right axillary region, unchanged as well. 11:10pm blood wbc-14.9* rbc-4.28* hgb-13.9* hct-38.3* mcv-90 mch-32.4* mchc-36.2* rdw-13.3 plt ct-239 07:40am blood wbc-10.1 rbc-3.44* hgb-10.9* hct-30.9* mcv-90 mch-31.7 mchc-35.3* rdw-13.7 plt ct-273# 11:10pm blood pt-12.2 ptt-22.6 inr(pt)-1.1 11:10pm blood urean-18 creat-1.0 07:40am blood glucose-95 urean-28* creat-0.8 na-137 k-4.4 cl-99 hco3-27 angap-15 brief hospital course: as mentioned in the hpi, mr. was transferred from osh to for emergent surgery. he was brought to the operating room shortly after admission and underwent a replacement of his ascending and arch aorta. and with re-anastomosis of the innominate and left common carotid utilizing a aortobifem graft. please see operative report for surgical details. following surgery he was transferred to the csru for invasive monitoring in stable condition. he did have some post-operative bleeding that required multiple blood products. later following the operation, he was weaned from sedation, awoke neurologically intact and extubated. on post-op day two beta-blockers and diuretics were initiated. he was gently diuresed towards his pre-op weight. beta-blockers were titrated throughout hospital course for maximum bp control. an upper extremity ultrasound was performed which ruled out a dvt. he was later transferred to the telemetry floor. chest tubes and epicardial pacing wires were removed per protocol. over the next several days he continued to improve and worked with physical therapy for strength and mobility. he also required aggressive pulmonary toilet. he had a relatively uneventful post-op course and was discharged on post-op days seven with vna services and appropriate follow-up appointments. 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. furosemide 40 mg tablet sig: one (1) tablet po twice a day: please take 40mg twice a day for 7 day then decrease to 40mg once a day for 7 days . disp:*21 tablet(s)* refills:*0* 3. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po twice a day: please take 20 meq twice a day for 7 day then decrease to 20 meq once a day for 7 days . disp:*42 capsule, sustained release(s)* refills:*0* 4. 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* 5. cipro 750 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*0* 7. aspirin 325 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* 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: type a aortic dissection s/p replacement ascending and arch aorta pmh: elevated cholesterol discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks () please call for appointment dr in 2 weeks () please call for appointment primary care physician 1 week please call for appointment wound check appointment 2 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery resection of vessel with replacement, thoracic vessels transfusion of packed cells hypothermia (systemic) incidental to open heart surgery diagnoses: obstructive sleep apnea (adult)(pediatric) pure hypercholesterolemia unspecified pleural effusion congestive heart failure, unspecified aortic valve disorders hemorrhage complicating a procedure dissection of carotid artery dissection of aorta, thoracic dissection of other artery 

Answer: The patient is high likely exposed to