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: the patient is a 61-year-old woman, with known aortic stenosis, who was referred for an outpatient catheterization on . please see cath report for full details. in summary, the cath showed a discrete lesion of the lad 60 percent, sever aortic stenosis with a mean gradient of 37, and a calculated valve area of 0.7 cm2, an ef of 61 percent, with no regional wall motion abnormalities. there was no mr. the patient was referred to cardiac surgery and was seen and accepted for aortic valve replacement, and plus/minus cabg, and was discharged to home following cardiac catheterization. she was readmitted as a postoperative admit on . physical exam prior to admission: heart rate 60 and regular, blood pressure 120/75. general: petite woman in no distress. neck: supple with no jvd and no bruits. no lymphadenopathy. chest: clear. heart: regular rate and rhythm. aortic murmur radiating throughout. abdomen: soft, nontender, without hepatosplenomegaly. extremities: warm and well-perfused, with no clubbing, cyanosis or edema.. past medical history: 1. aortic stenosis. 2. hyperlipidemia. 3. irritable bowel. 4. fibromyalgia. 5. esophageal spasm. 6. migraines. 7. psoriasis. 8. osteoporosis. past surgical history: tubal ligation. allergies: novocain. meds prior to admission: 1. imitrex prn. 2. excedrin prn. lab data: white count 9, hematocrit 38, platelets 350, sodium 140, potassium 5.4, chloride 102, co2 31, bun 17, creatinine 0.9, inr 1.0. social history: the patient is married and lives with her husband in , . hospital course: as stated previously, the patient was a direct admission to the operating room on , at which time she underwent an avr, cabg. please see the or report for full details. in summary, the patient had an aortic valve replacement with a number 21 mosaic porcine valve, and a cabg x 1 with a saphenous vein graft to the lad. her bypass time was 101 minutes, with a crossclamp time of 75 minutes. she tolerated the procedure well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was in a sinus rhythm at 70 beats per minute with a mean arterial pressure of 64, and a cvp of 12. she had phenylephrine drip at 0.3 mcg/kg/min, as well as propofol at 10-20 mcg/kg/min. in the immediate postoperative period, the patient had a significant amount of drainage from her chest tubes. her inr was 1.8 upon her return from the operating room. she received 2 units of packed cells, 2 units of ffp, and a 5- pack of platelets. shortly after her arrival in the icu, she continued to ooze intermittently throughout the evening and, therefore, remained sedated and intubated throughout that night. on the morning of postoperative day 1, the bleeding from the chest tubes had resolved. her sedation was discontinued. she was weaned from the ventilator and successfully extubated. throughout the day of postoperative day 1, she remained hemodynamically stable without any further episodes of drainage from her chest tubes. on postoperative day 2, she continued to be hemodynamically stable. she was begun on beta blockade, as well as diuretics. her activity was increased with the assistance of physical therapy and the nursing staff, and she remained in the intensive care unit for lack of beds on the floor. on postoperative day 3, the patient continued to do well. her chest tubes were removed. her temporary pacing wires were removed, and she was transferred to the floor for further cardiac rehabilitation and postoperative care. once on the floor, the patient had an uneventful postoperative course. activity level was increased with the assistance of the physical therapy staff and the nursing staff, and on postoperative day 5, it was decided that the patient was stable and ready to be discharged to home. at the time of this dictation, the patient's physical exam is as follows: vital signs: temperature 98, heart rate 83, sinus rhythm, blood pressure 101/51, respiratory rate 20, o2 sat 95 percent on room air. weight preoperatively 53 kg and at discharge 55.2 kg. lab data: white count 10.2, hematocrit 34, platelets 171, sodium 140, potassium 3.9, chloride 103, co2 33, bun 11, creatinine 0.5, glucose 86. physical exam: neuro: alert and oriented x 3. moves all extremities. follows commands. respiratory: breath sounds slightly diminished in the bases, otherwise clear to auscultation bilaterally. cardiac: regular rate and rhythm, s1 and s2, with no murmurs. sternum is stable. incision with steri-strips, open to air, clean and dry. abdomen: soft, nontender, nondistended with normoactive bowel sounds. extremities: warm and well-perfused with no edema. right saphenous vein graft site with steri-strips, open to air, clean and dry. discharge medications: 1. metoprolol 25 mg . 2. lasix 20 mg qd x 2 weeks. 3. potassium chloride 20 meq qd x 2 weeks. 4. tylenol 3 elixir 12.5-25 cc q 4-6 h prn. 5. aspirin 325 mg qd. condition at discharge: good. follow up: 1. she is to have follow-up with her primary care doctor in 3 weeks. 2. follow-up with dr. in 6 weeks. 3. follow-up with dr. in 6 weeks. , procedure: extracorporeal circulation auxiliary to open heart surgery insertion of endotracheal tube open and other replacement of aortic valve (aorto)coronary bypass of one coronary artery other bypass anastomosis for heart revascularization diagnoses: coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia aortic valve disorders other and unspecified hyperlipidemia osteoporosis, unspecified myalgia and myositis, unspecified other psoriasis irritable bowel syndrome dyskinesia of esophagus 

Answer: The patient is high likely exposed to