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 71 year old female with a history of aortic stenosis, transferred to for workup new onset atrial fibrillation and cardiomyopathy. the patient had been experiencing increased shortness of breath at rest and orthopnea for seven days prior to admission. four days prior to admission, she went to hospital and was found to be in atrial flutter. she was also found to have cardiomyopathy with an ejection fraction of approximately 20 to 25%. she was transferred to per request of her daughter who was a nurse here and had a cardiac catheterization to rule out ischemia. her cardiac catheterization showed an ejection fraction of 25% and aortic valve area of 0.9. the patient had a transthoracic echocardiogram to rule out clot and then was taken to the electrophysiology laboratory for atrial flutter ablation. the patient returned from these procedures with bilateral groin hematomas. she had hypotension with a systolic blood pressure of 78 during the electrophysiologic procedure and was fluid resuscitated. past medical history: 1. pedal edema. 2. mild hypertension. 3. aortic stenosis. 4. hypercholesterolemia. 5. status post right knee replacement. 6. status post abdominal hernia repair. medications on admission: 1. lovenox 100 mg subcutaneous twice a day which was discontinued prior to the day of the procedures. 2. coreg 3.125 mg p.o. twice a day. 3. digoxin 0.25 mg p.o. once daily. 4. lasix 20 mg p.o. once daily. 5. magnesium gluconate 500 mg p.o. twice a day. 6. potassium chloride 40 meq p.o. twice a day. 7. accuretic which is the only medication she was on prior to her hospitalization at and she had been on accuretic 12.5 mg p.o. once daily. allergies: no known drug allergies. however, the patient has had an adverse reaction to ativan. family history: her father had heart disease. social history: the patient used to smoke about twenty-five years ago. she drinks approximately two drinks per day. physical examination: vital signs revealed heart rate around 95, blood pressure around 105/50, respiratory rate approximately 20 and oxygen saturation approximately 96%. the patient was a tired appearing well nourished female in no apparent distress. the pupils are equal, round, and reactive to light and accommodation. the extraocular movements are intact. sclera are anicteric. the patient had dry mucous membranes. she had no jugular venous distention, no lymphadenopathy and no carotid bruits. the heart was regular rate and rhythm, distant heart sounds, right upper sternal border systolic murmur. the lungs were bilaterally clear to auscultation anteriorly with crackles laterally. the abdomen was soft, obese, positive bowel sounds and tender in the lower quadrants secondary to proximity to the groin region. she had multiple ecchymoses over her abdomen. extremities showed no cyanosis or clubbing but had brawny pitting edema up to the midleg with good dorsalis pedis pulses but tibial pulses were blunted by pitting edema. hospital course: the patient was admitted to the ccu for overnight observation of her bilateral groin hematomas which remained stable until morning. her hematocrit also remained stable. given the above, the patient was transferred to the floor and restarted on heparin drip and coumadin for therapy for her atrial flutter and status post electrophysiologic ablation. the patient's other cardiology tests showed: cardiac catheterization showed moderate aortic stenosis, markedly elevated filling pressures with preserved cardiac output and index and mild one vessel coronary artery disease. resting hemodynamics demonstrated severely elevated right and left sided filling pressures with a wedge of 32. her cardiac output and index were preserved with moderate systemic arterial hypertension and moderate pulmonary arterial hypertension. there was moderate aortic stenosis with a peak gradient of 51 and a mean gradient of 37 with a calculated valve area of 0.9 centimeter squared. selective coronary angiography of the right dominant circulation demonstrated mild one vessel disease. the left main coronary artery, left circumflex and right coronary artery were angiographically normal. the left anterior descending had a mild proximal stenosis of 30%. the patient remained in atrial flutter throughout the case. the patient had moderate arterial hematoma after her arterial sheath was pulled and hemostasis was achieved by manual compression with the use of a clamp. the patient had also had an echocardiogram performed the same day which showed right atrium was normal in size, no atrial septal defect was visible, left systolic function appeared depressed, right ventricular chamber size and free wall motion were normal, focal calcifications in the aortic root with simple atheroma in the descending thoracic aorta. there were three aortic valve leaflets. the aortic valve leaflets were severely thickened and deformed and there was 1+ aortic regurgitation. the mitral valve leaflets were mildly thickened with mild thickening of the mitral valve chordae. there was 1+ mitral regurgitation. tricuspid valve leaflets were normal as were the pulmonic valve leaflets. there was a small pericardial effusion. no spontaneous echocardiographic contrast or thrombus was seen in the body of the left atrium, atrial appendage, body of right atrium/right atrial appendage. no atrial septal defect was seen. given the above, the patient was expected to be discharged on coumadin, however, her groin hematomas continued to expand and she was subsequently sent for a ct scan of the abdomen and pelvis to rule out retroperitoneal hemorrhage. these showed a large right groin hematoma extending into the anterior abdominal wall without retroperitoneal extension. there was no way to assess for arterial extravasation given the lack of intravenous contrast. the patient also had small bilateral pleural effusions and cholelithiasis. the patient also had an ultrasound performed of the right femoral artery which showed that there was a large heterogeneous mass in the right groin compatible with hematoma. there was no pseudoaneurysm identified throughout the examination and the examination was somewhat limited by the presence of a large hematoma. there was normal venous flow on the veins distally suggesting that there was no av fistula present. given the above, the patient was thought to be stable and was put in for a repeat hematocrit. this repeat hematocrit showed a significant drop and the patient was reexamined and found to have a drop in blood pressure and also a drop in urine output. therefore, she was transferred from the floor back to the ccu, was aggressively rehydrated with fluids p.o. and intravenously, packed red blood cells. the patient received four units of packed red blood cells before being sent with vascular surgery to the operating room for surgical exploration of her right groin hematoma. the patient returned and was found to have increased drainage through her - drains, status post procedure. therefore, vascular surgery was called to reevaluate the right groin hematoma. an addendum is to be added to this dictation. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified left heart cardiac catheterization other esophagoscopy catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach pulmonary artery wedge monitoring suture of artery diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified atrial fibrillation hematoma complicating a procedure other chronic pulmonary heart diseases atrial flutter rheumatic heart failure (congestive) peripheral vascular complications, not elsewhere classified mitral valve insufficiency and aortic valve stenosis 

Answer: The patient is high likely exposed to