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 / percocet attending: chief complaint: 80 year old white female with doe for the past year. major surgical or invasive procedure: aortic valve replacement(21mm ce perimount) history of present illness: this 80 year old white female has had doe for 1 year. an echo in showed of 0.8 cm2. she underwent cardiac cath on which revealed: av peak gradient of 64mmhg, of 0.46 cm2, 30% lmca, 40% d1 lesion, 50% rca stenosis, and pulmonary htn. she is now admitted for elective avr. past medical history: htn ^lipids oa s/p ptca of d1 in 9/95 s/p cataract removal s/p r cea social history: lives in with daughter. cigs: none etoh: very rare family history: unremarkable physical exam: gen: elderly white female in nad avss heent: n/c, a/t, eomi, perla, oropharynx benign neck: supple, from, no lymphadenopathy or thyromegaly, carotids 2+ w/ + radiating murmurs. lungs: clear to a+p cv: rrr w/ iii/vi sem. abd.: +bs, soft, nontender, without masses or hepatosplenomegaly. ext: w/out clubbing or cyanosis, 1+ pedal edema bilat., pulses: 2+ = except for r rad and r pt are 1+. neuro: nonfocal. pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 09:43am 9.1 3.61* 11.1* 34.2* 95 30.6 32.3 14.0 430 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 09:43am 430 chemistry renal & glucose glucose urean creat na k cl hco3 angap 09:43am 171* 19 1.1 138 4.2 98 32* 12 pt: 43.9 inr: 1.6 brief hospital course: on the patient was admitted for elective avr. she underwent avr with a 21mm ce perimount magna pericardial bioprosthetic valve. cross clamp time was 68 mons., total bypass time was 101 mins. she was transferred to the csru in stable condition on neo and propofol. she was extubated on her post op nightand was transferred to the floor on pod#1. her epicardial pacing wires were d/c'd on pod#3. she went into afib on pod#5 and was eventually started on amio, coumadin, and heparin. she continued having intermittent episodes of afib, but eventually stablized. she was discharged to rehab on pod #13 in stable condition. medications on admission: hctz 12.5 mg po daily lisinopril 20 mg po daily lipitor 20 mg. po daily asa 81 mg po daily vit e 400 mg po daily lopressor 25 critical 1 cap daily 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. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po q3-4h () as needed. 4. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 5. amiodarone hcl 200 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days: then decrease dose to 200 mg po daily. 6. atenolol 25 mg tablet sig: one (1) tablet po once a day. 7. lasix 40 mg tablet sig: one (1) tablet po twice a day for 10 days. 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 10 days. 9. lipitor 20 mg tablet sig: one (1) tablet po once a day. 10. coumadin 5 mg tablet sig: one (1) tablet po at bedtime for 2 days: take as directed for an inr goal of .5. discharge disposition: extended care facility: of discharge diagnosis: aortic stenosis discharge condition: good. discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower, let water flow over wounds, pat dry with a towel. followup instructions: make an appointment with dr. for 2-3 weeks. make an appointment with dr. for 4 weeks. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft diagnoses: unspecified essential hypertension atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to