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: lisinopril / diovan / latex attending: chief complaint: exertional angina, sob, dizziness major surgical or invasive procedure: avr (#19 ce magna pericardial )/repair of coronary sinus history of present illness: 78 yo female with known as, now presents with angina and doe. referred for cardiac cath during prior admission in . cath showed lad 40%, diag1 and diag 2 50%, 50-70% cx, 0.7cm2. prior echo showed ef 60-70%, peak grad 134, 0.5cm2, + ai, no mr/tr. referred for avr to dr. . past medical history: htn dyslipidemia gerd osteoporosis cataracts bladder prolapse as/ai recent fall left inguinal hernia right adnexal cyst s/p "abdominal suspension" 's hemorrhoidectomy remote breast implants ? spigelian hernia social history: lives with husband who is in rehab post-cabg occasional etoh no tobacco use family history: mother died of "heart problems" in her 70's physical exam: hr 80 rr 19 127/94 5'0" 61.7 kg nad skin/heent unremarkable neck full rom with positive carotid bruits ctab rrr 3/6 sem at lsb abd soft, nt extrems well-perfused, warm, no varicosities,no edema neuro grossly intact 2+ fems/dp/radials np pt/ 1+ left pt pertinent results: 01:00pm blood wbc-13.3* rbc-3.57* hgb-11.3* hct-31.5* mcv-88 mch-31.6 mchc-35.8* rdw-13.6 plt ct-122* 06:50am blood hct-29.8* 01:00pm blood plt ct-122* 06:45am blood glucose-123* urean-15 creat-0.7 na-142 k-4.3 cl-103 hco3-30 angap-13 06:50am blood k-4.5 06:45am blood mg-2.0 final report history: frequent dizziness. scattered areas of heterogeneous calcific plaque involving both internal carotid arteries. the peak systolic velocities bilaterally, however, are within normal limits as are the ica to cca ratios. there is antegrade flow involving both vertebral arteries. impression: minimal bilateral ica plaque, no appreciable associated stenosis, however. dr. final report indication: aortic valve replacement. comparison: . pa and lateral views of the chest: patient is status post median sternotomy and prosthetic aortic valve replacement. heart is normal sized, and the mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. increasing small bilateral pleural effusions are present with mild bibasilar atelectasis. there is no pneumothorax. diffuse demineralization of the skeletal structures is identified. impression: 1. increasing small bilateral pleural effusions with mild bibasilar atelectasis. 2. no evidence of congestive heart failure. the study and the report were reviewed by the staff radiologist. dr. dr. approved: fri 7:52 am procedure date: approved: fri 1:11 pm procedure date: brief hospital course: admitted and underwent avr /repair of coronary sinus with dr. . transferred to the csru in stable condition on a propofol drip.extubated that evening, and weaned off nipride drip on pod #1. swan and chest tubes removed and beta blockade started. transferred to the floor that evening to begin to increase her activity level. gentle diuresis started on pod #2 and treated for nausea.pacing wires removed on pod #3. ace inhibitor stopped on pod #4 for questionable allergy, and beta blockade titrated up for better hr and bp management.cleared for discharge home with vna services on pod #5. pt. to follow up as per discharge instructions. medications on admission: 180 mg daily omeprazole 40 mg daily nifedical 60 mg daily hctz 25mg daily caltrate 600 mg lipitor 10 mg daily 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 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 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:*0* 4. acetaminophen-codeine 300-30 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 7. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 10 days. disp:*20 packet(s)* refills:*0* 8. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: as htn hyperlipidemia gerd osteoporosis cataracts bladder prolapse l inguinal hernia r adrenal cyst abdominal resuspension hemorrhoid repair breast implant 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. no lifting more than 10 pounds or driving until follow up with surgeon. shower, no baths, no lotions, creams or powders to incisions. followup instructions: dr. 4 weeks dr. 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft diagnoses: esophageal reflux aortic valve disorders osteoporosis, unspecified 

Answer: The patient is high likely exposed to