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: patient recorded as having no known allergies to drugs attending: chief complaint: shortness of breath/heart failure major surgical or invasive procedure: - urgent mitral valve repair with triangular resection of middle scallop of the posterior leaflet and annuloplasty with a 26-mm 3-d annuloplasty ring. - cardiac catheterization history of present illness: delightful 57 year old female with a history of a myxomatous mitral valve and mitral regurgitation dating back to . she has been followed for moderate regurgitation and mild pulmonary hypertension with symptom observation and serial echocardiography. in she began to develop shortness of breath as well as palpitations. her recent echocardiogram demonstrated a new partial flail of the posterior mitral leaflet (probably p2/p3 scallops) with wide-open mr and new severe pulmonary hypertension. her left atrial size had not changed in size thus suggesting the acute nature of her severe mitral regurgitation. given these findings, she has been referred for surgical management. she was originally seen by dr. in clinic on hoever developed worsening shortness of breath and heart failure neccessitating an earlier admission for surgery. past medical history: mr/mvp htn ? ehlers-danlos syndrome history of amyrosis fugax - coumadin for 5 years social history: race: caucasian last dental exam: last week lives with: husband in mass occupation: works in marketing tobacco: never etoh: 1 drink per day family history: sister with thyroid cancer. father died of heart disease at 39. physical exam: pulse: resp: o2 sat: b/p right: left: height: 65" weight: 120lb bsa 1.59m2 general: wdwn in nad skin: warm, dry and intact heent: ncat, perrla, eomi, sclera anicteric, op benign. teeth in good repair. neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr, nl s1-s2, iv/vi holosystolic murmur. abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: none neuro: grossly intact, mae, non-focal pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit: none right: transmitted murmur left: transmitted murmur pertinent results: cardiac catheterization 1. selective coronary angiography of this right dominant system revealed no angiographically apparent cad. 2. resting hemodynamics demonstrated moderate to severe elevation of left sided filling pressures (lvedp of 22mmhg and mean pcwp of 24mmhg). there was prominent v vave (up to 33mmhg) on pcwp tracing consistent with mitral regurgitation. there was moderate pulmonary hypertension (50/24mmhg, mean 34mmhg) but right sided filling pressures were only mildly elevated (mean rap of 6mmhg, rvedp of 10mmhg). cardiac index by fick was 3l/min/m2. pulmonary vascular resistance was mildly elevated at 170 dynes-sec/cm5. there was no transaortic gradient on pullback of catheter from lv to aorta. carotid ultrasound no evidence of significant carotid artery stenosis echo prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is moderate/severe mitral valve prolapse. the mitral regurgitation vena contracta is >=0.7cm. severe (4+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). moderate tricuspid regurgitation is seen. tricuspid annulus is not dilated.there is no pericardial effusion. post bypass patient is av paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. annuloplasty ring seen in the mitral position. appears well seated and there is trivial perivalvular regurgitation.(posterior commissure). aorta is intact post decannulation. brief hospital course: mrs. was admitted to the on for surgical management of her mitral valve disease. in preparation for surgery, she underwent a cardiac catheterization which showed clean coronaries. on , mrs. was taken to the operating room where she underwent a mitral valve repair. please see operative note for details. postoperatively she was taken to the intensive care unit for monitoring. she later awoke neurologically intact and was extubated. on postoperative day one, she was transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. she did complain of left thumb numbness on post operative day 4 which was thought to be secondary to radial nerve irritation with an echymotic area noted. she had 2+ bilateral radial artery pulses with good capillary refill. she was told to contact the service if the numbness continued or worsened after discharge. she continued to make steady progress and was discharged home on postoperative day 4. she will follow-up with dr. , dr. and dr. as an outpatient. medications on admission: enalapril 2.5mg daily metoprolol xl 25mg daily aspirin 81mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily) for 2 months. disp:*60 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 2 months. disp:*60 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 9. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 months. disp:*120 tablet(s)* refills:*0* 10. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) for 1 months. disp:*100 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: mitral valve regurgitation htn ? ehlers-danlos syndrome history of amyrosis fugax - coumadin for 5 years discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn 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 until follow up with surgeon 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 followup instructions: please call to schedule appointments surgeon dr. in 4 weeks primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters open heart valvuloplasty of mitral valve without replacement diagnoses: other iatrogenic hypotension anemia, unspecified mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia other chronic pulmonary heart diseases long-term (current) use of anticoagulants tricuspid valve disorders, specified as nonrheumatic lesion of radial nerve 

Answer: The patient is high likely exposed to