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: history of present illness: this asymptomatic and very active 51 year old woman had a known heart murmur her entire life. she started having echoes at age 30. in an echo prompted a referral to dr. of cardiology. she had an mri done 2 years ago for monitoring to follow what appeared to be both a mitral valve murmur and an aortic valve murmur. past medical history: prior to admission her past medical history was as follows: 1. mitral valve prolapse, mitral regurgitation and aortic insufficiency. 2. hemorrhoids. 3. bronchitis in . 4. pneumonia in . 5. history of palpitations. past surgical history: included c-sections. laboratory data: labs prior to admission were as follows: white count 8.0, hematocrit 39.4, pt 12.3, ptt 29.2, inr 1.0, platelet count 230,000. urinalysis was negative. sodium 138, k 3.9, chloride 103, bicarb 25, bun 17, creatinine 0.7 with a blood sugar of 79, alt 13, ast 17, alkaline phosphatase 65, total bilirubin 0.5, total protein 7.3, albumin 4.7, globulin 2.6. hpa1c was 5.6%. preop chest x-ray showed mild cardiomegaly without any evidence of acute cardiopulmonary process. please refer to the official report dated . preop ekg showed sinus bradycardia at 58 with an otherwise unremarkable ekg. cardiac catheterization performed in showed normal coronaries, 4+ mr, moderate ai 3+, no aortic stenosis, ejection fraction 60% and an lvedp of 12. echocardiogram performed on showed moderately dilated left atrium with an ejection fraction of 58%, eccentric mr 2+, ai moderate to severe, -leaflet prolapse of her mitral valve with 4+ mr pa systolic pressures. cardiac mri performed in showed increased lv size, lv ejection fraction of 62% with a forward ef of 33%, mild aortic insufficiency, tricuspid regurgitation and pulmonic regurgitation. she had bilateral atrial enlargement, - leaflet mitral valve prolapse. medications: medications are as follows: univasc 15 mg po twice a day; lorazepam 0.5 mg p.r.n. as needed at sleep and oral antibiotics for dental work. allergies: she had multiple allergies as follows: codeine, penicillin, gentamycin, sulfa, vancomycin and morphine which gave her chest tightness. family history: the patient did not have a family history of note as she was adopted. social history: she lives with her husband. as a paralegal. had a current dental exam. she quit smoking 7 years prior to admission with a 20 pack year history. she admits to 1 to 2 drinks per month and has not used any recreational drugs in more than 20 years. physical examination: she was 5 feet 2 inches tall, 130 pounds. she was in no apparent distress. she appeared her stated age. she had no obvious skin lesions. her eoms were intact. her pupils were equally round and reactive to light and accommodation. her neck was supple without any lymphadenopathy or thyromegaly. her lungs were clear bilaterally without any rales or rhonchi. her heart was regular rate and rhythm with a grade 2/6 systolic and also an early diastolic murmur with radiation. her abdomen was soft and nontender and nondistended with positive bowel sounds. her extremities had no cyanosis, clubbing or edema or any varicosities that were noted. she was alert and oriented x3 with cranial nerves ii through xii grossly intact with a nonfocal neuro exam. she had 2+ bilateral femoral, pt and radial pulses and 1+ bilateral dp pulses. her murmur radiated to both carotid arteries. ho course: she came in as same day admission on and underwent aortic valve replacement by dr. with a 25 mm - magna pericardial tissue valve and a mitral valve replacement with a 31 mm - paramount pericardial tissue valve. she was transferred to the cardiothoracic icu in stable condition, a-paced on a neo-synephrine drip of 1.0 mcg per kilograms per minute, propofol drip at 40 mcg per kilograms per minute, and epinephrine drip at 0.01 mcg per kilograms per minute. on postoperative day 1, the patient had been extubated the evening prior, she was alert and following all commands. she remained a paced with a blood pressure of 90/48 and a cardiac index of 4.2. she had been briefly on nitroglycerin which had been weaned off by the morning and remained on a neo- synephrine drip at 0.25. her lung sounds were coarse. she was satting well on 2 liters of nasal cannula. her abdomen was soft and nontender and nondistended. postoperatively her white count was 15, hematocrit 25, platelet count 107,000 with a creatinine of 0.6. she was doing very well. the team worked on weaning her neo-synephrine off during the day. her pa catheter was removed. her chest tubes were removed. she started iron, vitamin c and multivitamins. venous access nurse placed an additional line for us when consulted. on postoperative day 2 her incision was clean, dry and intact. she was doing very well. her pacing wire was turned completely off. she was in sinus rhythm in the 60's with a good blood pressure of 102/46, satting 94% on room air. she began lasix diuresis and started her oral low dose aspirin. her sternum was stable and she continued to make excellent progress. she was seen and evaluated by physical therapy and was transferred out to the floor. on the 6th it was noted that the patient felt a right parasternal click when she was turning her head. on exam there was no click and her sternum was stable. a chest x-ray was also checked. her pain was adequately controlled. she was a little bit weepy and depressed on postoperative day 3, when she was transferred out to the floor. she spiked a temperature of 100.1 on postoperative day 3. urinalysis and cultures were sent. pacing wires were discontinued without any incident. her chest tubes had already been removed the day prior. she was also given some milk of magnesia and dulcolax to help her with an initial bowel movement. she continued with po lasix, required some reassurance from the team that she was continuing to do well. she was very pleasant and cooperative and was getting good effect with her percocet for pain management. she remained in sinus rhythm with an occasional pvc. on the day of discharge, the 7th, she was 4 kilobyte grams approximately from her preoperative weight. she was started on lipitor. she had already done a level 5 and was ready for discharge. shinstructed to follow up in the wound clinic on floor 2 in 2 weeks post discharge, and to follow up with dr. in the office at 4 weeks for her postop surgical visit. she was also instructed to see her primary care, dr. approximately 2 to 3 weeks post discharge. discharge medications: 1. colace 100 mg po twice a day. 2. lasix 40 mg po once a day for 2 weeks. 3. enteric coated aspirin 81 mg po once daily. 4. percocet 5/325 one to 2 tablets po p.r.n. q.4h as needed for pain. 5. metoprolol 12.5 mg po twice a day. discharge diagnoses: 1. status post aortic valve replacement and mitral valve replacement with pericardial tissue valves. 2. hemorrhoids. 3. status post bronchitis . 4. status post pneumonia . 5. history of palpitations. disposition: the patient was discharged to home with vna services on in stable condition. , m.d. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft open and other replacement of mitral valve with tissue graft diagnoses: mitral valve insufficiency and aortic valve insufficiency 

Answer: The patient is high likely exposed to