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: amoxicillin attending: chief complaint: critical aortic stenosis plus significant 2-vessel coronary artery disease. major surgical or invasive procedure: : 1. aortic valve replacement with a size #23-mm st. tissue valve. 2. coronary artery bypass graft x 3: left internal mammary artery to left anterior descending artery, and saphenous vein grafts to diagonal and obtuse marginal arteries. 3. endoscopic harvesting of the long saphenous vein. history of present illness: 84 year old female has been followed for a history of aortic stenosis with a recent echo that showed now severe aortic stenosis with of 0.7 cm2. she has exertional chest tightness, dyspnea and fatigue with moderate activity. due to her symptoms and progression of aortic stenosis, she has now been referred for cardiac catheterization. she was found to have coronary artery disease and severe aortic stenosis upon cardiac catheterization and is now being referred to cardiac surgery for evaluation of revascularization and an aortic valve replacement. past medical history: hypertension elevated cholesterol aortic stenosis hospitalized in the past for dehydration dental extraction long smoking history social history: lives with her daughter. retired. contact for discharge: grandaughter; cell# tobacco: quit smoking 1 year ago; 60+years smoking history; 1ppd etoh: seldom family history: non-contributory physical exam: pulse:82 resp:18 o2 sat: 97/ra b/p right:134/80 left:139/80 height:5'2" weight:175 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur:4/6 systolic ejection murmur with radiation to the neck: left> right abdomen: soft non-distended non-tender + bowel sounds extremities: warm , well-perfused no edema no deep varicosities but some superficial veins are tortuous and somewhat dilated neuro: grossly intact pulses: femoral right: 1+ left: 1+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: yes left: yes, likely radiating heart murmur pertinent results: 06:16am blood wbc-13.1* rbc-3.61* hgb-11.5* hct-34.0* mcv-94 mch-31.9 mchc-33.9 rdw-16.3* plt ct-452* 06:16am blood glucose-113* urean-17 creat-0.4 na-141 k-5.2* cl-105 hco3-28 angap-13 06:16am blood mg-1.3* conclusions 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. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple 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). moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on mrs. before surgery incision. post_bypass: preserved biventricular systolic function. lvef 55%. the bioprosthesis in the aortic position is stable, functioning well with mean gradient < 10mm of hg. intact thoracic aorta. minimal mr . i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:51 brief hospital course: the patient was brought to the operating room on where the patient underwent aortic valve replacement with a size #23-mm st. tissue valve. coronary artery bypass graft x 3: left internal mammary artery to left anterior descending artery, and saphenous vein grafts to diagonal and obtuse marginal arteries. endoscopic harvesting of the long saphenous vein. 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, weaned from inotropic and vasopressor support. on she developed right sided upper extremity paralysis and right lower extremity weakness. a head ct was negative. head mri revealed mult. subacute watershed infarcts with possible ischemic and embolic origin. neurology was consulted. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight.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. us for rue swelling was negative for dvt. she went into postoperative a fib that initially converted to sr on amiodarone. pod#8 she had several episodes of paroxysmal afib and anticoagulation with coumadin was started per dr.. she was evaluated for speech and swallow. by the time of discharge on pod #8 the patient was ambulating with assist, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to rehab in , ma. in good condition with appropriate follow up instructions. medications on admission: atenolol 25 mg daily, lisinopril 2.5 mg daily, rosuvastatin 20 mg daily, centrum silver multivitamin daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months: elixir please. 2. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units sc injection tid (3 times a day). 3. rosuvastatin 20 mg sig: one (1) po daily (daily). 4. amiodarone 200 mg sig: two (2) po bid (2 times a day) for 3 days: 400 mg through ; then 400 mg daily ; then 200 mg daily ongoing starting . 5. lisinopril 5 mg sig: 0.5 po daily (daily). 6. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 7. furosemide 20 mg sig: one (1) po bid (2 times a day): please check k+ monday . 8. aspirin 325 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po once a day: please crush and give with nectar thickness. 9. metoprolol tartrate 50 mg sig: one (1) po tid (3 times a day). 10. warfarin 2 mg sig: one (1) po once (once) for 1 doses. 11. warfarin sig: md once daily at 4 pm: inr goal>2. discharge disposition: extended care facility: hospital - discharge diagnosis: hypertension elevated cholesterol postop a fib postop cva aortic stenosis coronary artery disease s/p avr/cabg x3 discharge condition: alert and oriented x3 nonfocal ambulating with assist sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage leg.......... edema.............. 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 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office surgeon dr. on monday at 1:15pm cardiologist dr. please call to schedule the following: 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** daily inr check for postop paroxysmal afib inr goal= >2 md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders personal history of tobacco use surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cerebral embolism with cerebral infarction encephalopathy, unspecified accidents occurring in residential institution other and unspecified coagulation defects iatrogenic cerebrovascular infarction or hemorrhage hemiplegia, unspecified, affecting dominant side 

Answer: The patient is high likely exposed to