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: codeine attending: chief complaint: elective aneurysm repair major surgical or invasive procedure: endovascular stent repair of descending thoracic aortic aneurysm history of present illness: this is an 83 year old female who underwent ascending aortic aneurysm repair in . since that time, she has been followed by serial ct scans which found extension of aortic aneurysm. her descending aortic aneurysm now measures around 5.5 centimeters. she now presents for surgical intervention. she remains asymptomatic. past medical history: ascending aortic aneurysm - s/p repair, history of chronic pericarditis, atrial fibrillation, hypertension, history of cva in , raynaud's disease, history of phlebitis, osteoporosis, s/p tonsillectomy, s/p spinal fusion, s/p umbilical hernia repair, s/p appendectomy, s/p cholecystectomy, s/p total abdominal hysterectomy, history of kidney stones, anal fissure social history: lives with husband. four children. occasional etoh. prior tobacco use - quit about 50 years ago. family history: non-contributory physical exam: vitals: 148/80, 80, 18, 98% on ra general: elderly female in no acute distress heent: oropharynx benign neck: supple, no jvd, no carotid bruits heart: regular rate, normal s1s2, lungs: clear bilaterally abd: soft, nontender, nondistended ext: warm, no edema neuro: nonfocal pulses: 1+ distal pulses, no femoral bruits pertinent results: 09:27pm blood wbc-9.2 rbc-4.62 hgb-12.9 hct-38.7 mcv-84 mch-28.0 mchc-33.5 rdw-15.2 plt ct-157 05:40am blood wbc-7.8 rbc-3.51* hgb-10.0* hct-29.3* mcv-84 mch-28.5 mchc-34.1 rdw-15.3 plt ct-80* 09:27pm blood glucose-105 urean-28* creat-1.1 na-125* k-4.6 cl-89* hco3-27 angap-14 05:40am blood glucose-109* urean-21* creat-0.9 na-133 k-4.1 cl-96 hco3-30 angap-11 05:40am blood mg-1.9 brief hospital course: mrs. was admitted for heparinzation and routine preoperative evaluation. inr at time of admission was 2.0 for which vitamin k was given. a preoperative chest x-ray showed a marked dilatation of the aortic arch and descending aorta - stable since . workup was otherwise unremarkable and she was cleared for surgery. prior to her operation, her inr improved to 1.3. she remained pain free. on , she underwent endovascular stent repair of her descending thoracic aortic aneurysm. following the operation, she was brought to the csru for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated without incident. she maintained stable hemodynamics and weaned from inotropic support without difficulty. low dose beta blockade was resumed. on pod#2, she transferred to the sdu. she was given coumadin for atrial fibrillation. she was ready for discharge on pod #4. medications on admission: levoxyl 25 mcg qd, lopressor 50 am/75pm, fosamax, lasix 20 qod, prilosec 20 qd, mvi, vitamin d, calcium, coumadin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. levothyroxine sodium 25 mcg tablet sig: one (1) tablet po daily (daily). 4. multivitamin capsule sig: one (1) cap po daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po daily (daily). 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 11. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 12. coumadin 3 mg tablet sig: one (1) tablet po tonight: inr goal 2-2.5. discharge disposition: extended care facility: tcu at discharge diagnosis: thoracic aortic aneurysm - s/p endovascular stent repair, ascending aortic aneurysm - s/p repair , history of chronic pericarditis, atrial fibrillation, hypertension, history of cva in , raynaud's disease, history of phlebitis, osteoporosis, s/p tonsillectomy, s/p spinal fusion, s/p umbilical hernia repair, s/p appendectomy, s/p cholecystectomy, s/p total abdominal hysterectomy, history of kidney stones, anal fissure discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for one month. no lifting more than 10 lbs for at least 10 weeks. check inr daily for goal of .5 followup instructions: dr. in 4 weeks dr. for 4 weeks. dr. in weeks procedure: angioplasty of other non-coronary vessel(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel endovascular implantation of graft in thoracic aorta diagnoses: unspecified essential hypertension thoracic aneurysm without mention of rupture atrial fibrillation 

Answer: The patient is high likely exposed to