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 / nsaids attending: chief complaint: unstable angina major surgical or invasive procedure: - two vessel coronary artery bypass grafting(svg to lad, svg to om1) and aortic valve replacement(25mm pericardial bioprosthesis) history of present illness: this is a 77 year old female who presented to with right sided neck pain. her symptoms were relieved with sublingual nitroglycerin. she ruled out for myocardial infarction. she has known coronary artery disease and has been on medical therapy. cardiac catheterization in was significant for severe three vessel coronary disease and normal left ventricular function. the left main had a 60% lesion, the lad had a 50% stenosis, the circumflex had an ostial 70% lesion while both the plv and pda had 50% stenoses. she was subsequently transferred to for coronary revascularization. past medical history: paroxsymal atrial fibrillation, chronic renal insufficiency, hypertension, cerebrovascular disease(h/o tia and known left carotid stenosis), breast cancer - s/p mastectomy, s/p hysterectomy, social history: married, lives with husband. denies tobacco and etoh. family history: no premature coronary disease physical exam: vitals: afebrile, pulse 58, bp 166/45, rr 22, sat 99% room air general: no acute distress heent: oropharynx benign, moist mucous membranes chest: wheezing noted, decreased sounds at bases heart: regular rate and rhythm, no murmur or rub abdomen: benign extremities: warm, 2+ edema wounds: clean, dry and intact pertinent results: 04:45pm pt-12.9 ptt-23.4 inr(pt)-1.1 04:45pm plt count-185 04:45pm wbc-9.1 rbc-4.22 hgb-12.7 hct-36.9 mcv-87 mch-30.1 mchc-34.4 rdw-13.9 04:45pm glucose-111* urea n-19 creat-1.0 sodium-142 potassium-4.2 chloride-104 total co2-28 anion gap-14 05:08am blood wbc-12.8* rbc-3.30* hgb-9.4* hct-29.4* mcv-89 mch-28.6 mchc-32.1 rdw-15.3 plt ct-319 05:08am blood glucose-101 urean-23* creat-0.9 na-137 k-4.1 cl-103 hco3-26 angap-12 02:47am blood pt-15.5* ptt-52.0* inr(pt)-1.6 brief hospital course: mrs. was admitted on . she underwent routine preoperative evaluation which included a carotid ultrasound which showed moderate plaque in the left internal carotid artery(40-59%) and mild plaquing in the right internal carotid artery(less than 40%). in addition, there was disease in the right vertebral artery. an transthoracic echocardiogram was also notable for mild aortic valve stenosis, mild aortic regurgitation, mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. the rest of her workup was unremarkable and she was cleared for surgery. on , two vessel coronary artery bypass grafting was performed in addition to an aortic valve replacement utilizing a 25 millimeter - pericardial bioprosthesis. her operative course was notable for small coronary vessels along with severe and diffuse coronary calcifications. therefore the lima was not utilized and the pda was not graftable. the operation was otherwise uneventful and she was brought to the cardiac sicu for further monitoring. she was slow to wean from inotropic support. amiodarone was resumed for atrial fibrillation with rapid ventricular rate. she was eventually extubated on postoperative day three. over several days, her hemodynamics stablized. she went on to experience right upper extremity weakness and left facial weakness for which a head ct scan was obtained on . the ct scan was notable for a large well-circumscribed hypodense area of encephalomalacia in the left frontal lobe, chronic in nature. it was difficult to exclude an acute extension of infarction in this area. she was subseuqently kept hypertensive to maintain cerebral perfustion. warfarin therapy was also resumed in addition to aspirin. swallow evaluation on showed no signs of aspiration. she initially had difficulty with regular solids. due to persistent atrial fibrillation, she underwent cardioversion on . she remained on oral amiodarone and remained mostly in a normal sinus rhythm. k and mg levels were monitored closely and repleted per protocol. due to a subtherapeutic inr, she was temporarily maintained on intravenous heparin. her clinical status gradually improved and she transferred to the sdu on postoperative day nine. amiodarone and beta blockade were continued for intermittent episodes of paroxsymal atrial fibrillation. beta blockade was titrated accordingly for bradycardia. given her cerebrovascular disease, she was kept somewhat hypertensive. she remained volume overloaded and continued to require diuresis. she responded well to lasix and by discharge, she was tolerating room air with oxygen saturations of 99%. at discharge, she remained volume overloaded and will continue to require diuresis. warfarin was dosed daily for a goal inr between 2.0 - 2.5. haldol was intermittently required for mild paranoia, agitation and mild confusion. for the remainder of her hospital stay, her mental status slowly improved as did her motor function. she made steady progress with physical therapy. repeat speech evaluation on revealed much improvement. she was eventually cleared for discharge to rehab on postoperative day ******. due to her incomplete revascularization, she will need to follow up with dr. in approximately 8 weeks for repeat stress test with potential for percutaneous coronary intervention and stenting. medications on admission: atenolol 100 mg qd imdur 60 mg qd lasix 20 mg qd lexapro 10 mg qd lipitor 10 mg qd lisinopril 40 mg qd aspirin warfarin 2.5 mg qd discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). tablet, delayed release (e.c.)(s) 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 5. escitalopram oxalate 10 mg tablet sig: one (1) tablet po daily (daily). 6. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 7. warfarin sodium 2.5 mg tablet sig: one (1) tablet po qpm: daily dose may vary. adjust for goal inr between 2.0 - 2.5. 8. albuterol 90 mcg/actuation aerosol sig: 2-4 puffs inhalation q4h (every 4 hours). 9. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 10. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days: last dose . 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. amiodarone 200 mg tablet sig: two (2) tablet po once a day for 7 days: continue two tablets (400mg) for 7 days then drop to one tablet(200mg) for indefinite amount of time. 13. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days: then titrate according to weight and respiratory status. 14. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days: then adjust according to lasix dose. maintain k greater than 4.0. 15. albuterol sulfate 0.083 % solution sig: inhalation q6h (every 6 hours) as needed. 16. haloperidol 1 mg tablet sig: one (1) tablet po hs (at bedtime). 17. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. discharge disposition: extended care facility: tt discharge diagnosis: s/p avr/cabg, htn, elevated cholesterol, cerebrovascular disease - h/o tia, paf, chronic renal insufficiency, breast ca - s/p mastectomy discharge condition: stable discharge instructions: patient may shower over incision - pat dry. no lotions or cream. no driving for one month. no lifting greater than 10 lbs for at least 10 weeks. followup instructions: dr. in 4 weeks. dr. in weeks. dr. in 8 weeks for stress test. dr. if indicated. procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries atrial cardioversion open and other replacement of aortic valve with tissue graft transfusion of packed cells transfusion of other serum transfusion of platelets continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation aortic valve disorders personal history of malignant neoplasm of breast occlusion and stenosis of carotid artery without mention of cerebral infarction cardiogenic shock unspecified disorder of kidney and ureter cerebral embolism with cerebral infarction aphasia iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to