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: shortness of breath. major surgical or invasive procedure: s/p aortic valve replacement(19mm tissue valve) history of present illness: 54 yo female with past medical history significant for bicuspid aortic valve and aortic valve stenosis. she has had worsening chest/jaw pain radiating to right arm with walking short distances/stairs. low dose beta blockers has not helped. pain is relieved with rest. she feels the severity has been worsening over the last 6 months. patient denies sob, dizziness, pnd, edema or syncope. she is now admitted for elective aortic valve replacement. past medical history: bicuspid aortic valve as hyperthyroidism-history of disease tonsillecotmy as a child right knee surgery 4 years ago hyperlipidemia-prescribed medication by pcp but 't take laparoscopy social history: lives with: husband, occupation: it specialist tobacco: never etoh: none family history: coronary artery disease physical exam: pulse: 80 reg resp:20 o2 sat: 100% ra b/p right: 144/49 left: 138/62 height: 4"11" weight:61.2 kg general: wdwn female in nad skin: warm dry intact heent: ncat, perrla, eomi, sclera anicteric, op benign. neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr , nl s1-s2, iv/vi sem radiating to carotids abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused trace edema varicosities: none neuro: grossly intact pulses: femoral right: +2 left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit right: transmitted murmur left: transmitted murmur pertinent results: 06:35am blood wbc-10.8 rbc-3.35* hgb-9.8* hct-30.5* mcv-91 mch-29.4 mchc-32.3 rdw-13.6 plt ct-173# 11:10pm blood pt-13.4 ptt-34.0 inr(pt)-1.1 06:35am blood glucose-108* urean-8 creat-0.5 na-140 k-4.5 cl-105 hco3-29 angap-11 , f 55 radiology report chest (portable ap) study date of 11:14 pm , r. csurg csru 11:14 pm chest (portable ap) clip # reason: s/p avr w/hypotension r/o ptx/effusion medical condition: 55 year old woman with as above reason for this examination: s/p avr w/hypotension r/o ptx/effusion final report history: hypotension status post avr. findings: in comparison with study of earlier in this date, there is increasing opacification at both bases consistent with increasing atelectasis and effusion. dr. approved: wed 10:25 am echocardiography report , (complete) done at 2:34:43 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 55 f hgt (in): 59 bp (mm hg): 123/67 wgt (lb): 135 hr (bpm): 82 bsa (m2): 1.56 m2 indication: intraoperative tee for avr. aortic valve disease. chest pain. left ventricular function. preoperative assessment. right ventricular function. valvular heart disease. icd-9 codes: 786.05, 424.1 test information date/time: at 14:34 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2010aw1-: machine: aw1 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - ejection fraction: 55% >= 55% aorta - ascending: *3.6 cm <= 3.4 cm aortic valve - peak velocity: *4.2 m/sec <= 2.0 m/sec aortic valve - peak gradient: *72 mm hg < 20 mm hg aortic valve - valve area: *0.5 cm2 >= 3.0 cm2 findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated ascending aorta. normal aortic arch diameter. normal descending aorta diameter. aortic valve: bicuspid aortic valve. critical as (area <0.8cm2). trace ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions prebypass no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve is bicuspid. there is critical aortic valve stenosis (valve area <0.8cm2). trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results on at 1400 hrs. post bypass patient is av paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. bioprosthetic valve seen in the aortic position. the valve appears well seated and the leaflets move well. the peak gradient across the valve is 18 mm hg. the aorta is intact post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:49 brief hospital course: the patient was admitted on and underwent elective aortic valve replacement with a 19mm pericardial tissue valve. she tolerated the procedure well and was transferred to the cvicu in stable condition on neo and propofol. she was extubated that night and her chest tubes were discontinued on pod#1. she was transferred to the floor on pod#1 and that night she received some lasix and her sbp dropped to the 70's. she received a bolus which had a slight response and was transferred back to the cvivu. she improved and was transferred back to the floor on pod#2 and continued to progress. she had an episode of rapid atrial fibrillation on pod#2 and was treated with digoxin and loressor and converted to sinus rhythm. her epicardial pacing wires were discontinued on pod#3 and she was discharged to home in stable condition on pod#4. medications on admission: asa 81mg po daily metoprolol 12.5mg discharge medications: 1. 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:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). discharge disposition: home with service facility: area vna discharge diagnosis: aortic stenosis hyperthyroidism-h/o disease hyperlipidemia discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon 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 followup instructions: please call to schedule appointments surgeon dr. in 4 weeks primary care dr. () in weeks cardiologist dr. () in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: other iatrogenic hypotension cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm other and unspecified hyperlipidemia congenital insufficiency of aortic valve 

Answer: The patient is high likely exposed to