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: iodine attending: chief complaint: chest pain major surgical or invasive procedure: 1. aortic valve replacement with a 23-mm magna aortic valve bioprosthesis. 2. coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the distal right coronary artery. history of present illness: 78 year old russian speaking female with history of coronary artery disease s/p stent placement to lad in . she was feeling well until 2 months ago when she started experiencing chest tightness. this is associated with dyspnea, as well as several episodes of nocturnal and rest angina. she underwent a cardiac cath at on which revealed severe left main and three vessel disease. based on these findings, she was admitted and bypass surgery was recommended. however, she did not want to pursue surgery and wanted a second opinion (specifically to pursue minimally invasive and off-pump). since discharge from , she has had several episodes of chest pain at rest. past medical history: coronary artery disease s/p lad des hypertension hyperlipidemia spinal stenosis social history: lives: alone occupation: - tobacco: denies etoh: denies family history: non-contributory physical exam: pulse: 61 resp: 20 o2 sat: 99% b/p right: 160/69 left: 163/68 height: 5'2" weight: 165 lbs general: well-developed elderly female in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: - varicosities: small right calf neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ pertinent results: intra-op labs 09:36am hgb-8.7* calchct-26 09:36am glucose-90 lactate-0.9 na+-138 k+-3.8 cl--104 02:42pm fibrinoge-284 02:42pm pt-15.3* ptt-28.8 inr(pt)-1.3* 02:42pm plt count-149* 02:42pm wbc-14.6*# rbc-2.83*# hgb-7.0*# hct-21.8*# mcv-77* mch-24.9* mchc-32.3 rdw-16.2* 02:42pm hgb-7.3* calchct-22 discharge labs: 06:30am blood wbc-7.7 rbc-3.98* hgb-10.5* hct-32.2* mcv-81* mch-26.4* mchc-32.7 rdw-18.8* plt ct-81* 06:30am blood plt ct-81* 04:54am blood pt-11.9 ptt-26.8 inr(pt)-1.0 06:30am blood glucose-86 urean-26* creat-0.9 na-139 k-3.5 cl-104 hco3-25 angap-14 echo: pre bypass the left atrium is mildly dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild to moderate (+), bordering on moderate aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). moderate tricuspid regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is being av paced. there is normal biventricular systolic function. there is a bioprosthesis in the aortic position. it appears well seated. leaflet function appears normal. there is very trace aortic insufficiency the origin of which can not be determined. the maximum gradient across the aortic valve is 17 mmhg with a mean of 9 mmhg at a cardiac output of 6 liters/minute. the effective orifice area of the valve is 1.8 cm2. the tricuspid regurgitation is improved and is now mild to moderate. the thoracic aorta appears intact. radiology report chest (pa & lat) 11:37 am medical condition: 78 year old woman s/p cabg reason for this examination: eval for effusion final report mild-to-moderate postoperative enlargement of the cardiomediastinal silhouette has been stable since . small bilateral pleural effusions are unchanged since . there is no pneumothorax or pulmonary edema. moderately severe bibasilar atelectasis is stable on the left, worsened on the right. dr. brief hospital course: ms. was a same day admit after undergoing pre-operative work-up as an outpatient. on she was brought directly to the operating room where she underwent a coronary artery bypass graft x 3 and aortic valve replacement. please see operative report for surgical details. in summary she had: aortic valve replacement with a 23-mm magna aortic valve bioprosthesis. coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the distal right coronary artery. her bypass time was 130 minutes with a crossclamp of 108 minutes. she tolerated the operation well and following surgery she was transferred to the cvicu for invasive monitoring in stable condition. she was somewhat labile hemodynamically on the day of surgery requiring volume overnight herand hemodynamics had improved on post operative day 1 she woke and was extubated. a heparin induced antibody test was done on post operative day 1 due to falling platelets, which was negative. her home dose of plavix was restarted for a history of lad stent in . chest tubes and pacing wires were removed per cardiac surgery protocol. she remained hemodynamically stable and was transferred to the step down unit on post operative day 3. once on the floor, beta blockers were titrated up and an ace-i was started for better blood pressure control. she was tolerating a full oral diet, continued to be gently diuresed and her incisions were healing well. she had generalized weakness preoperatively and required assistance for transfers. she was transfered to rehabilitation at in on post operative day 6. medications on admission: metoprolol 100mg qd plavix 75mg qd simvastatin 40mg qd aspirin 81mg qd hydrochlorothiazide 25mg qd nitro 2.5mg prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet sig: one (1) tablet po daily (daily). 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day): total 75mg three times a day . 9. lasix 20 mg tablet sig: one (1) tablet po once a day for 5 days. 10. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 5 days. discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 aortic insufficiency s/p aortic valve replacement past medical history s/p lad des hypertension hyperlipidemia spinal stenosis discharge condition: alert and oriented x3 nonfocal - russian speaking ambulates with walker, minimal distance sternal pain managed with ultram prn sternal wound healing well, no eryhtema or drainage 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge ***if there are any questions or concerns please call the cardiac surgery office . the answering service will contact the person during off hours.*** followup instructions: appointments already scheduled surgeon dr - thrusday at 1:30 pm please call to schedule appointments primary care dr. in weeks cardiologist dr. in weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries insertion of endotracheal tube open and other replacement of aortic valve with tissue graft diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia aortic valve disorders percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris spinal stenosis, unspecified region delirium due to conditions classified elsewhere chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to