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: penicillins attending: chief complaint: atypical chest pain and palpitations with exertion major surgical or invasive procedure: minimally invasive mitral valve repair history of present illness: 46 yo female with know history of mr since , followed by serial echos. she has atypical chest pain and palpitations with exertion and is referred for surgical evaluation by dr. . echo in showed mild lvh, 4+mr, trace tr and lvef 76%. ett done in showed no evidence of ischemia at stress level and ef 65-75%. past medical history: migraines s/p breast lumpectomy for benign mass mitral regurgitation social history: lives with husband and 2 kids, homemaker, rare use of etoh, and has never smoked family history: non-contrib. physical exam: 133/78 r, 134/80 l, 72 sr, 5'6", 133 # pre-op exam: nad, benign nevi heent in remarkable, and teeth in good repair neck supple with no bruits rrr grade / 6 sem with diastolic rumble lungs ctab abd soft, nt, nd with + bs extrems warm, no c/c/e with 2+ bilat fem, dp/pt pulses, and no varicosities neuro grossly intact without focal deficits pertinent results: 07:00am blood wbc-8.6 rbc-2.76* hgb-8.6* hct-24.7* mcv-90 mch-31.0 mchc-34.7 rdw-13.4 plt ct-128* 12:55pm blood hct-25.4* 07:00am blood plt ct-128* 03:44am blood fibrino-210# 07:00am blood glucose-92 urean-9 creat-0.8 na-140 k-4.0 cl-110* hco3-26 angap-8 03:44am blood calcium-7.6* mg-1.4* 04:15am blood freeca-1.21 cath : mvp with 4+ mr, dil la, normal cors brief hospital course: admitted and underwent a minimally invasive mitral valve repair with a 26 mm annulplasty band by dr. . transferred to the csru in stable condition on neo, epinephrine and propofol drips. extubated later that evening in sr, alert and oriented, off all drips the following morning. chest tubes removed, and transferred to floor. started aspirin therapy. some ecchymosis present in area of right thoracot. incision, but continued to do well on the floor, immediately increasing her level of activity and ambulation. restarted topamax and using toradol for pain management. on day of discharge, pod #3, 107/59, sr 74, rr20, sat 96% ra, incisions clean, dry and intact, wt. 64.4 kg. discharged home with vna services in stable condition. medications on admission: topamax 25 mg maxalt 10 prn clindamycin prn dental procedures discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. 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:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*30 tablet(s)* refills:*2* 7. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. topiramate 25 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home with service facility: all care vna of greater discharge diagnosis: mr headaches r breast lumpectomy s/p min. inv. mitral valve repair discharge condition: good. discharge instructions: shower, wash incision with soap and water and pat dry. no baths, lotions, creams or powders. no lifting more than 10 pounds or driving until follow up with surgeon. call for fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. followup instructions: dr. 4 weeks dr. 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery annuloplasty diagnoses: mitral valve disorders migraine, unspecified, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to