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: ace inhibitors attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement (21mm tissue) history of present illness: this is a 67 year old female with known history of aortic stenosis that is followed by serial echocardiograms. she complains of progressively worsening dyspnea on exertion. cardiac cath revealed no coronary artery disease. she is now scheduled for aortic valve replacement this month. overall she feels well and has no major change in symptoms from . past medical history: past medical history: aotic stenosis hypercholesterolemia hypertension hyperthyroidism with thyroid nodule nonspecific thrombocytopenia ( mild) obesity depression meralgia paresthetica asthma gerd dysglycemia thoracic back pain/sciatica svt ( episode during stress test) remote esopagitis past surgical history: s/p tonsillectomy social history: race:caucasian dental: clearance letter obtained lives with: daughter contact: , phone # tion: runs coat checking business (has summer off) cigarettes: smoked no yes last cigarette hx: 1.5 ppd other tobacco use: no etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use: denies family history: family history: denies premature coronary artery disease physical exam: vs: b/p right: 118/66 left: 116/60 height: 5'7 " weight: 190 lbs general: wdwn female in nad skin: dry x intact heent: perrla eomi anicteric sclera;op unremarkable neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur grade ___3/6 systolic radiates throughout chest to carotids___ abdomen: soft non-distended non-tender +bs no hsm extremities: warm , well-perfused edema none varicosities: r lat thigh neuro: grossly intact ;nonfocal exam;mae strengths pulses: femoral right: 2+ left:2+ dp right: 1+ left:1+ pt :np left:np radial right:2+ left:2+ carotid bruit -murmur radiates to carotids pertinent results: admission labs: 10:31am wbc-8.5# rbc-2.67*# hgb-7.8*# hct-23.7*# mcv-89 mch-29.0 mchc-32.7 rdw-13.7 12:15pm pt-11.6 ptt-30.5 inr(pt)-1.1 12:15pm wbc-7.0 rbc-3.02* hgb-9.0* hct-27.0* mcv-90 mch-29.9 mchc-33.3 rdw-13.8 12:15pm urea n-12 creat-0.6 sodium-143 potassium-4.0 chloride-114* total co2-24 anion gap-9 discharge labs: echocardiography report echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 60% to 65% >= 55% aorta - ascending: 3.4 cm <= 3.4 cm aortic valve - peak velocity: *4.2 m/sec <= 2.0 m/sec aortic valve - peak gradient: *81 mm hg < 20 mm hg aortic valve - lvot diam: 2.0 cm aortic valve - valve area: *0.9 cm2 >= 3.0 cm2 findings left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the body of the laa. no mass/thrombus in the laa. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. left ventricle: severe symmetric lvh. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv free wall thickness. normal rv chamber size. normal rv systolic function. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. severely thickened/deformed aortic valve leaflets. no masses or vegetations on aortic valve. severe as (area 0.8-1.0cm2). moderate (2+) ar. mitral valve: moderate mitral annular calcification. no ms. moderate (2+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb: 1.the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no mass/thrombus is seen in the left atrium or left atrial appendage. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. there is severe symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 4. the right ventricular free wall thickness is normal. right ventricular chamber size is normal. with normal free wall contractility. 5. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. there was minimal movement of the ncc and rcc. the aortic valve leaflets are severely thickened/deformed. no masses or vegetations are seen on the aortic valve. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). moderate (2+) aortic regurgitation is seen. 7. moderate (2+) mitral regurgitation is seen. 8. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine, av-pacing for slow chb (initially). well-seated bioprosthetic valve in aortic position with trivial valvular ai, transvalvular gradient measured at 15mmhg. preserved biventricular systolic function, 1+ mr, aortic contour normal post-decannulation. brief hospital course: ms was a same day admission to the operating room for a scheduled aortic valve replacement. please see the operative report for details,in summary she had: aortic valve replacement with a 21mm tissue valve. her cardiopulmonary bypass time was 57 minutes with a crossclamp time of 42 minutes. she tolerated the operation well and was transferred from the operating room to the cardiac surgery icu in stable condition with minimal vasopressor support. she remained hemodynamically stable in the immediate post-op period, her anesthesia was reversed, she woke neurologically intact and was extubated. on pod1 she was transferred from the cardiac surgery icu too the stepdown floor for continued post-op care. all tubes lines and drains were removed per cardiac surgery protocol. she was transfused one unit prbc for post-op anemia. she reports postoperative intermittent visual changes, lasting only seconds. no focal defecit appreciated. as discussed with dr., ms. will alert the cardiac surgery service if these symptoms persist. dr office will also follow up in 1 week after discharge to ascertain whether ms. will require an outpatient eval by neuro and/or opthamologist. the remainder of her hospital course was uneventful. she worked with nursing and physical therapy to increase her strength and endurance. by pod# 5 she was ready for discharge home with visiting nurses. she is to follow up with dr in 1week at wound clinic and at 1 month in cardiac surgery clinic. medications on admission: methimazole - 15 mg once a day metoprolol succinate -50 mg extended release once a day rosuvastatin 5 mg once a day calcium carbonate - 500 mg calcium (1,250 mg) - 1 tablet once a day cholecalciferol 1,000 unit once a day lysine -500 mg once a day discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 5 days. disp:*20 tablet extended release(s)* refills:*0* 3. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 8. methimazole 10 mg tablet sig: 1.5 tablets po daily (daily). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: aortic stenosis s/p avr pmh: hypercholesterolemia hypertension hyperthyroidism with thyroid nodule nonspecific thrombocytopenia ( mild) obesity depression meralgia paresthetica asthma gerd dysglycemia thoracic back pain/sciatica svt ( episode during stress test) remote esopagitis psh: tonsillectomy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg edema: discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: wound check on at 11:00am medical office building surgeon: dr on at 1:15pm medical office building cardiologist:dr on at 2:30pm please call to schedule appointment with: primary care: dr , l. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: sciatica other iatrogenic hypotension anemia, unspecified esophageal reflux unspecified pleural effusion unspecified essential hypertension asthma, unspecified type, unspecified aortic valve disorders personal history of tobacco use depressive disorder, not elsewhere classified other and unspecified hyperlipidemia obesity, unspecified antithyroid agents causing adverse effects in therapeutic use other secondary thrombocytopenia toxic uninodular goiter without mention of thyrotoxic crisis or storm meralgia paresthetica 

Answer: The patient is high likely exposed to