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: dizziness major surgical or invasive procedure: mitral valve repair utilizing a 26mm profile 3d ring history of present illness: this is a 67 year old female with known mitral regurgitation. preoperative echocardiogram and cardiac mri confirmed severe mitral regurgitation and normal left ventricular function. cardiac catheterization in showed normal coronaries with a mean pa pressure of 21mmhg. prior to surgery, her symptoms were increasing shortness of breath and dizziness. past medical history: mitral reurgitation hypertension dyslipidemia history of retroperitoneal bleed - s/p injection hysterectomy appendectomy social history: denies history of tobacco and etoh. unemployed. lives with son. speaking family history: no premature coronary disease. physical exam: bp 129/67, p 78, rr 16 wt 120 lbs ht 61 inches general: asian female in no acute distress skin: unremarkable heent: oropharynx benign, sclera anicteric neck: supple, no jvd chest: lungs clear bilaterally heart: regular rate and rhythm, normal s1s2, holosystolic murmur abdomen: benign ext: warm, no edema neuro: non-focal pulses: 2+ distallly, no carotid or femoral bruits pertinent results: 03:27am blood wbc-10.7 rbc-3.45*# hgb-10.7* hct-29.7* mcv-86 mch-31.1 mchc-36.1* rdw-15.0 plt ct-139* 01:52pm blood wbc-9.8# rbc-3.03*# hgb-9.7*# hct-25.9*# mcv-86 mch-31.9 mchc-37.3* rdw-14.2 plt ct-169 09:14am blood pt-12.4 ptt-25.1 inr(pt)-1.0 01:52pm blood pt-16.0* ptt-56.7* inr(pt)-1.4* 12:40pm blood pt-15.3* ptt-53.9* inr(pt)-1.4* 12:40pm blood fibrino-94* 03:27am blood glucose-104 urean-12 creat-0.5 na-137 k-4.2 cl-102 hco3-29 angap-10 01:52pm blood urean-10 creat-0.5 cl-114* hco3-21* 03:27am blood mg-2.2 echocardiography report , (complete) done at 11:29:37 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 68 f hgt (in): 61 bp (mm hg): 110/70 wgt (lb): 114 hr (bpm): 70 bsa (m2): 1.49 m2 indication: intraop mitral valve surgery. assess valves, aortic contours, ventircular funciton. icd-9 codes: 440.0, 424.0 test information date/time: at 11:29 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw1-: machine: aw 5 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.0 cm <= 4.0 cm left atrium - four chamber length: 5.1 cm <= 5.2 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.9 cm <= 5.6 cm left ventricle - systolic dimension: 3.6 cm left ventricle - fractional shortening: *0.27 >= 0.29 left ventricle - ejection fraction: 50% to 60% >= 55% left ventricle - peak resting lvot gradient: 5 mm hg <= 10 mm hg aorta - annulus: 1.7 cm <= 3.0 cm aorta - sinus level: 2.8 cm <= 3.6 cm aorta - sinotubular ridge: 2.1 cm <= 3.0 cm aorta - ascending: 2.8 cm <= 3.4 cm aortic valve - peak velocity: 1.8 m/sec <= 2.0 m/sec aortic valve - peak gradient: 13 mm hg < 20 mm hg aortic valve - lvot diam: 1.7 cm aortic valve - valve area: *1.8 cm2 >= 3.0 cm2 findings left atrium: moderate la enlargement. no thrombus in the laa. right atrium/interatrial septum: normal ra size. pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: normal lv wall thickness. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no ms. eccentric mr jet. severe (4+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. pericardium: no pericardial effusion. conclusions pre bypass: the left atrium is moderately dilated. no thrombus is seen in the left atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. left ventricular wall thicknesses are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 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. although aortic valve area claculates to between 1.4 and 1.8 cm2 by continuity, and traces at 2.0 by plainemetery, the patient is very small (bsa 1.5), and the leaflets move and coapt normally. the mitral valve leaflets are mildly thickened. severe (4+) mitral regurgitation is seen with a3 flail and some possible commisural involvement. the jet is eccentric and posteriorly directed. post bypass: patient is av paced on phenylepherine and propofol infusions. preseved biventricular function. lvef 55%. there is a annular ring prosthesis (#26 3d ring per surgeon), mr s is 1+ at worst, trace by chest closure. peak and mean gradients across mitral valve are 12 and 8-9 mm hg respectively. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. . i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:32 , f 68 cardiology report ecg study date of 2:03:22 pm sinus rhythm. early repolarization. normal tracing. compared to the previous tracing of there is variation in precordial lead placement. the prior tracing suggested left ventricular hypertrophy. there is no diagnostic interim change. read by: , intervals axes rate pr qrs qt/qtc p qrs t 61 206 86 458/459 63 56 brief hospital course: mrs. was admitted and underwent mitral valve repair by dr. . for surgical details, please see seperate dictated operative note. she received cefazolin for perioperative antibiotics. following the operation, she was brought to the cvicu for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated without incident. postoperative day one she was started on diuretics and betablockers, then transferred to the floor. she was transfused with blood for postoperative anemia. she developed atrial fibrillation postoperative day two and converted to normal sinus rhythm with lopressor and amiodarone after a few hours. she has had no further atrial fibrillation. physical therapy worked with her on strength and mobility. she continued to do well and was ready for discharge home post operative day four. plan for follow up with dr in 2 weeks at heart center. sternal incision no erythema but small amount of resolving ecchymosis, no drainage, sternum stable edema +1 lower extremeties, weight 57 kg at discharge preop 51 medications on admission: amlodipine 10 qd simvastatin 10 qd ??ranitidine 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 3. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. 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:*0* 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 6. amiodarone 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 2 weeks. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home discharge diagnosis: mitral regurgitation - s/p mitral valve repair post operative atrial fibrillation hypertension dyslipidemia peptic ulcer disease discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 no creams, lotions, powders, or ointments to incisions please call with any questions or concerns followup instructions: please call to schedule all appointments heart center to set appointment with dr in two weeks, he has clinic on thrusdays at dr. in () dr. in 1 week procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery annuloplasty diagnoses: pure hypercholesterolemia mitral valve disorders unspecified essential hypertension acute posthemorrhagic anemia cardiac complications, not elsewhere classified atrial fibrillation other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other acquired absence of organ acquired absence of both cervix and uterus peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to