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: aortic stenosis aortic insufficiency mitral regurgitation atrial fibrillation major surgical or invasive procedure: 1. avr (21mm ce magna pericardial tissue valve) 2. maze procedure history of present illness: 81 yo female diagnosed with a heart murmur 4 y ago, followed by serial echocardiograms with most recent showing severe as ( 0.6), 3+ ai, 2+ mr, ef 60%. she remains active, however has had progressive fatigue over the past 2 y. cardiac cath showed minimal coronary disease. past medical history: afib niddm htn osteoporosis uterine ca moderate pulmonary htn osteoarthritis social history: unremarkable family history: father- mi at age 70 physical exam: afebrile, 66 af, 110/74 nad, alert neck: no jvd, 2+ carotid pulses, no bruits heart: irregularly irregular, heart murmur, + s3 lung: ctab abd: soft, nt, nd ext: trace le edema pertinent results: 11:35am blood wbc-6.6# rbc-3.32* hgb-10.1* hct-30.3* mcv-92 mch-30.5 mchc-33.3 rdw-13.7 plt ct-66*# 11:35am blood pt-19.5* ptt-45.3* inr(pt)-2.4 12:20am blood glucose-140* urean-44* creat-1.4* na-137 k-5.3* cl-108 hco3-20* angap-14 brief hospital course: 81 yo female diagnosed with a heart murmur 4 y ago, followed by serial echocardiograms with most recent showing severe as ( 0.6), 3+ ai, 2+ mr, ef 60%. she remains active, however has had progressive fatigue over the past 2 y. cardiac cath showed minimal coronary disease. pt was admitted for heparin gtt in preparation for the or. also administered vitamin k in pre-op time period. once inr had normalized, she was taken to the or on for avr and maze procedure. for more detailed account, please see operative report. post-operatively, she went to the csru where she extubated on pod0, pa catheter was d/c'd on pod1, and amiodarone was started. pacing wires and chest tubes were removed on pod3 and she was transferred to the floor. on the floor, coumadin was administered. on pod5, pt had slight rise in creatinine; lasix was stopped and this was followed. it progressed downwards over the next couple of days. once she was therapeutic on her coumadin, she was deemed well enough to be discharged to rehab. medications on admission: diovan 80 daily coumadin 2 hs fosamax 10 daily asa 325 lopressor 50 lasix 10 mwf plendil 2.5 daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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* 3. amiodarone hcl 200 mg tablet sig: two (2) tablet po bid (2 times a day): f/u c cardiology re: ? taper. disp:*120 tablet(s)* refills:*0* 4. alendronate sodium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 8. coumadin 2 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: aortic stenosis aortic insufficiency mitral regurgitation atrial fibrillation discharge condition: good discharge instructions: 1. resume medications as directed. 2. call office or go to er if fever/chills, drainage from sternal wound, chest pain, shortness of breath. 3. inr f/u c pcp or cardiology. p instructions: call to schedule appointment with dr. in 4 weeks. call to schedule appointment with pcp 2 weeks. call to schedule appointment with cardiologist in 2 weeks. inr check, results to be called to dr. office. procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach open and other replacement of aortic valve with tissue graft transfusion of packed cells diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other chronic pulmonary heart diseases osteoporosis, unspecified long-term (current) use of anticoagulants mitral valve insufficiency and aortic valve stenosis osteoarthrosis, unspecified whether generalized or localized, site unspecified other abnormal blood chemistry encounter for therapeutic drug monitoring 

Answer: The patient is high likely exposed to