I am not 100% sure or not but the fact that he messaged you would indicate that you crossed his mind one way or another. I am not suggesting what he did was right, in fact its morally wrong but we have all made very bad mistakes in life and do regret them.
At this stage if you did respond and would be interested in communicating back and forth I am sure an apology would in fact come. Talking about emotions and feelings isn't something that comes naturally to a lot of guys but when events such as health change, it opens up perspective on strange ways. That's why people who have had near death experiences, life threatening diagnoses etc always have a different view on life and don't sweat the small stuff.
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