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 / sulfa (sulfonamide antibiotics) / erythromycin base attending: chief complaint: palpitations/dizziness/dyspnea on exertion major surgical or invasive procedure: replacement of ascending aorta with a vascutek dacron 28 mm tube graft using deep hypothermic circulatory arrest. history of present illness: 73 year old female with occassional dizziness and palpitations which began about 6 weeks ago. she underwent an echocardiogram which revealed an ascending aortic aneurysm measuring 4.9cm. a ct scan was obtained which showed the ascending aorta to measure 5.7cm. given the above findings, she has been referred for surgical evalutation. past medical history: bilateral renal calculi urinary frequency with urge incontinence breast cancer x2 hypertension glaucoma depression subdural bleed bilaterally from trauma. closed head injury. social history: lives with: son in occupation: retired tobacco: denies etoh: rare use family history: non contributory physical exam: pulse: 85 resp: 18 o2 sat: 98% b/p right: 130/82 left: 114/83 height: 60" weight: 144lb general: wdwn in nad skin: warm dry intact no c/c/e heent: ncat perrla eomi anicteric sclera, op benign. teeth appear in good repair neck: supple full rom chest: lungs clear bilaterally bilateral mastectomy scars. prominent right clavicle. heart: rrr, nls1-s2, no m/r/g appreciated abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: none neuro: grossly intact. mild facial asymmetry pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit none pertinent results: admission labs: 09:37am glucose-114* lactate-2.3* na+-138 k+-3.5 cl--96* 01:11pm glucose-154* lactate-4.1* na+-133* k+-3.1* cl--105 01:13pm pt-14.5* ptt-28.7 inr(pt)-1.3* 01:13pm plt count-213 01:13pm wbc-16.3*# rbc-2.67*# hgb-8.0*# hct-23.0*# mcv-86 mch-29.9 mchc-34.6 rdw-14.1 03:06pm urea n-14 creat-0.7 sodium-140 potassium-3.1* chloride-111* total co2-22 anion gap-10 discharge labs: 06:00am blood wbc-7.8 rbc-2.76* hgb-8.5* hct-24.2* mcv-88 mch-30.7 mchc-35.0 rdw-14.5 plt ct-322 06:00am blood plt ct-322 01:34am blood pt-15.3* ptt-27.0 inr(pt)-1.3* 06:00am blood glucose-94 urean-19 creat-1.0 na-142 k-3.7 cl-107 hco3-26 angap-13 radiology report chest (pa & lat) study date of 1:30 pm medical condition: 73 year old woman with pod #3 s/p hemiarch with increased sob, please evaluate for incresed pleural effusions. final report: in comparison with study of , the patient has taken a better inspiration. however, there is increased opacification at the right base with an oblique configuration, consistent with volume loss in the right lower lung. retrocardiac opacification persists, consistent with pleural fluid and volume loss in the left lower lobe. echocardiography report echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.7 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.8 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.5 cm <= 5.6 cm left ventricle - ejection fraction: 45% to 50% >= 55% left ventricle - stroke volume: 6 ml/beat aorta - annulus: 1.9 cm <= 3.0 cm aorta - sinus level: 3.4 cm <= 3.6 cm aorta - sinotubular ridge: *3.1 cm <= 3.0 cm aorta - ascending: *5.2 cm <= 3.4 cm aorta - arch: *3.9 cm <= 3.0 cm aorta - descending thoracic: *3.7 cm <= 2.5 cm aortic valve - peak velocity: 1.5 m/sec <= 2.0 m/sec aortic valve - lvot vti: 2 aortic valve - lvot diam: 1.9 cm aortic valve - valve area: *1.9 cm2 >= 3.0 cm2 findings right atrium/interatrial septum: normal ra size. pfo is present. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness and cavity size. normal lv cavity size. normal regional lv systolic function. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. normal aortic diameter at the sinus level. moderately dilated ascending aorta aortic valve: normal aortic valve leaflets (3). mild to moderate (+) ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions left ventricular wall thicknesses and cavity size are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is mildly depressed (lvef= 45%). right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque to 45 cm from the incisors. the ascending aorta is moderately dilated,with preserved aortic root diameters.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. mild to moderate (+) aortic regurgitation is seen.the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion.there is a pfo visualized by 2d and cfd. post bypass patient is now s/p ascending aortic replacement with a dacron graft the proximal end of the dacron graft is visualized just distal to the sinotubular junction with the distal end proximal to the innominate currently on a neosynephrine drip at 1.6 mcg/kg/min the lv function is preserved with an ef of >55% there is persistent + central aortic regurgitation. there are no dissection flaps visualized in the ascending aorta . all finding pre and post bypass communicated to dr electronically signed by , md, interpreting physician 11:18 brief hospital course: the patient was brought to the operating room on where the patient underwent replacement of the ascending aorta with a vascutek dacron 28mm tube graft using deep hypothermic circulatory arrest. 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. 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 were discontinued on post-operative day number one without complication and the epicardial pacing wires were discontinued on post-operative day number 3 without complications. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod five the patient was ambulating with , the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with visiting nursed in good condition with appropriate follow up instructions. medications on admission: anastrozole - (prescribed by other provider) - 1 mg tablet - 1 tablet(s) by mouth once a day hydrochlorothiazide - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth once a day potassium citrate - (prescribed by other provider) - 10 meq (1,080 mg) tablet sustained release - 1 tablet(s) by mouth four times a day sertraline - (prescribed by other provider) - 100 mg tablet - 1 tablet(s) by mouth once a day timolol - (prescribed by other provider) - dosage uncertain cholecalciferol (vitamin d3) - (prescribed by other provider) - 400 unit capsule - 1 capsule(s) by mouth once a day discharge medications: 1. 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:*2* 2. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 2 weeks. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 7. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 8. anastrozole 1 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: ascending aortic aneurysm extending into the aortic arch s/p replacement bilateral renal calculi urinary frequency with urge incontinence breast cancer hypertension glaucoma depression subdural bleed bilaterally from trauma. closed head injury. discharge condition: alert and oriented x3 nonfocal ambulating, gait steady with pain managed with tylenol incision - healing well, no erythema or drainage 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 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. , md phone: : @ 1:30 please call to schedule the following: primary care dr. in weeks cardiologist dr. in 4 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: resection of vessel with replacement, thoracic vessels diagnoses: unspecified essential hypertension acute posthemorrhagic anemia thoracic aneurysm without mention of rupture aortic valve disorders personal history of malignant neoplasm of breast unspecified glaucoma depressive disorder, not elsewhere classified other acquired absence of organ personal history of urinary calculi urinary incontinence, unspecified acquired absence of breast and nipple personal history of traumatic brain injury 

Answer: The patient is high likely exposed to