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: aspirin attending: chief complaint: fatigue and dizziness major surgical or invasive procedure: aortic valve replacement with a 21-mm magna ease bioprosthesis coronary bypass grafting x2 with pedicle left internal mammary artery to the left anterior descending coronary artery; free right internal mammary artery to the posterior descending coronary artery history of present illness: 86 yo spanish speaking female who was found to have new onset murmur with echo revealing severe as. she has occasional chest pain, doe and fatigue - when shopping. no syncope but has had occasional lightheadedness that is relieved with rest. elective right and left heart cath at with lmca: minimal lumen irregularitites lad: 60-70% calcified mid lad lcx: minor irregulariities rca: 80% ostial lesion with dampening of the catheter waveform. large dominant rca. cardiac echocardiogram showed aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. she was referred for surgery. past medical history: hypertension osteoporosis hearing loss mild dementia kidney stone leg cramps cataracts abdominal hernia past surgical history: s/p bilateral knee replacements cataract surgery 6 years ago social history: widowed, lives alone. spanish speaking, 8 children. several of her children are live locally, are supportive. no smoking, no alcohol, no illicit drug use. has home health aide and friend who assists with cleaning, household tasks. family history: mother died of mi ? age, father - unknown, 8 children with no known medical issues physical exam: pulse:83 resp:18 o2 sat:97%/ra b/p right:153/83 left: 171/71 height: 62" weight:143lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iii/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused 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/left: transmitted murmur pertinent results: echo: pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. dr. was notified in person of the results on before surgical incsion. post-bypass: preserved biventricular systolic function. lvef 55%. intact thoracic aorta. the aortic bioprosthesis is in situ and functioning well with transvalvular gradients consistent with the valve size. chest ct: 1. status post median sternotomy, with an anterior mediastinal collection. superinfection is not excluded. 2. dilatation, with poor enhancement of the right internal mammary to pda coronary bypass graft, suspicious for a pseudoaneurysm. if clinically indicated, this can be further evaluated with a coronary cta. 3. mediastinal lymphadenopathy, which may be reactive. 4. moderate-sized bilateral pleural effusion associated atelectasis of the lower lobes, as well as partial atelectasis of right middle lobe and left upper lobe. 5. multinodular thyroid including a large nodule arising from the lower pole of the left lobe. 01:17pm blood wbc-9.4# rbc-3.30* hgb-10.0* hct-28.7* mcv-87 mch-30.2 mchc-34.8 rdw-14.5 plt ct-202 01:05am blood wbc-7.1 rbc-3.31* hgb-10.0* hct-29.1* mcv-88 mch-30.1 mchc-34.3 rdw-14.5 plt ct-134* 04:55am blood wbc-5.9 rbc-2.62* hgb-8.2* hct-23.5* mcv-90 mch-31.3 mchc-34.9 rdw-15.6* plt ct-414 01:17pm blood pt-15.8* ptt-42.4* inr(pt)-1.4* 05:45am blood pt-18.1* ptt-30.2 inr(pt)-1.6* 06:05am blood pt-24.1* inr(pt)-2.3* 06:20am blood pt-30.9* inr(pt)-3.1* 04:45am blood pt-29.1* ptt-40.1* inr(pt)-2.9* 04:55am blood pt-25.4* inr(pt)-2.4* 02:37pm blood urean-23* creat-1.2* na-138 k-4.3 cl-112* hco3-20* angap-10 07:39pm blood glucose-149* urean-20 creat-0.8 na-133 k-4.6 cl-97 hco3-27 angap-14 04:55am blood glucose-125* urean-28* creat-0.9 na-135 k-4.5 cl-96 hco3-30 angap-14 01:05am blood calcium-8.9 phos-3.3 mg-2.3 04:45am blood calcium-8.8 phos-3.6 mg-1.8 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent aortic valve replacement with a 21-mm magna ease bioprosthesis and coronary bypass grafting x2 with pedicle left internal mammary artery to the left anterior descending coronary artery; free right internal mammary artery to the posterior descending coronary artery. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. on post operative night 2 she did go into a rate controlled atrial fibrillation and was given oral amiodarone with return to sinus rhythm. she did drop her systolic blood pressure with the atrial fibrillation and lasix was subsequently discontinued with patient close to preoperative weight. she remained in sinus rhythm and hemodynamically stable for the remainder of her hospital course. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 7 the patient was ambulating freely. sternal wound was noted to have some serous drainage at the lower pole on . she was started on iv antibiotics and will be discharged for po keflex x 7 days. amiodarone and coumadin will be continued with a goal inr of .5. pain was controlled with oral analgesics. the patient was discharged to center in good condition with appropriate follow up instructions. of note, dr. (medical director infusion services) emailed dr. and cardiac surgery regarding transfusion reaction. mrs. developed a new anti-c rbc alloantibody. prior to detection of this antibody on , she received 4 units of rbcs, some of which were c-antigen positive. her post-transfusion sample shows the presence of the c-antigen positive transfused cells, so they are still in her circulation. although her dat is currently negative, she is potentially at risk for delayed hemolysis. she should be evaluated for fever, jaundice or other symptoms/signs of hemolysis. as well have blood drawn for ldh, bilirubin and haptoglobin weekly x 1 month. medications on admission: donepezil - (prescribed by other provider) - 5 mg tablet - 1 (one) tablet(s) by mouth once a day gabapentin - (prescribed by other provider) - 100 mg capsule - capsule(s) by mouth prescription states two tabs, , pt states takes 3 tabs q hs hydrochlorothiazide - (prescribed by other provider) - 25 mg tablet - 1 (one) tablet(s) by mouth once a day lisinopril - (prescribed by other provider) - 20 mg tablet - 1 (one) tablet(s) by mouth once a day mirtazapine - (prescribed by other provider) - 30 mg tablet - 1 (one) tablet(s) by mouth at bedtime acetaminophen - (prescribed by other provider) - 650 mg tablet sustained release - 1 (one) tablet(s) by mouth as needed as needed for pain calcium carbonate - (prescribed by other provider) - 600 mg (1,500 mg) tablet - 1 (one) tablet(s) by mouth three times a day discharge medications: 1. mirtazapine 30 mg tablet sig: one (1) tablet po hs (at bedtime). 2. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 3. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day for 2 weeks. 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 9. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400 mg until ; then 200 mg , then 200 mg daily ongoing. 10. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 12. furosemide 40 mg tablet sig: one (1) tablet po twice a day for 10 days. 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po bid (2 times a day) for 10 days. 14. coumadin 1 mg tablet sig: 0.5 tablet po qod: for goal inr 2-2.5. 15. keflex 500 mg capsule sig: one (1) capsule po four times a day for 7 days. discharge disposition: extended care facility: tba discharge diagnosis: critical aortic stenosis and coronary artery disease s/p aortic valve replacement/coronary artery bypass graft x 2 postop a medical history: hypertension osteoporosis hearing loss mild dementia kidney stone leg cramps cataracts abdominal hernia past surgical history: s/p bilateral knee replacements cataract surgery 6 years ago (likely bilat. vein strippings) discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema. scant drainage distally leg right/left - healing well, no erythema or drainage. edema trace 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 surgeon: dr. @ 1:00 pm cardiologist: @ 1pm please call to schedule appointments with your primary care dr. 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 double internal mammary-coronary artery bypass diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atherosclerosis of aorta atrial fibrillation aortic valve disorders other persistent mental disorders due to conditions classified elsewhere other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure osteoporosis, unspecified long-term (current) use of anticoagulants knee joint replacement 

Answer: The patient is high likely exposed to