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: sob/doe major surgical or invasive procedure: valve replacement with a 23mm ce pericardial valve history of present illness: 67 year old female, jehovah's witness with recent hospitalization for sob without chest pain. history of abdominal wound infection. took procrit and vitamin k preoperatively in anticipation of surgery past medical history: dm (hgb a1c 7%) dyslipidemia cad s/p pci to rca and om followed by mi due to stent thrombosis in om, also restenosis in rca which was stented along w/ the lad w/ bare metal stents severe diastolic chf - last chf exacerb 5 wks ago severe pulm htn severe as - prior plan for avr, valve area 0.9 h/o incarcerated hernia rheumatic fever as child morbid obesity (bmi 51) oa chronic low back pain h/o mrsa pna h/o ugib - no egd or c-scope on file pshx: s/p appy s/p ccy ' s/p repair of incarcerated hernia requiring bowel resection social history: lives in . former smoker: 2 ppd x 20 yrs, quit 40 yrs ago. occasional beer w/ pizza (nothing recently). no drugs. widow. 5 kids. jehovah's witness family history: cad, diabetes physical exam: 67yo f in bed nad neuro aa&ox3, nonfocal chest ctab resp unlab median sternotomy stable, c/d/i no d/c, rrr no m/r/g chest tubes and epicardial wires removed. abd s/nt/nd/bs+/protuberant ext warm with trace edema, right groin with mild erythema, good granulation tissue present, no purulence pertinent results: 05:30am blood urean-12 creat-0.8 k-4.5 07:07pm blood alt-17 ast-19 ld(ldh)-223 alkphos-109 totbili-0.4 radiology final report chest (portable ap) 8:00 am chest (portable ap) reason: ? effusion medical condition: 67 year old woman s/p avr/ replacement asc. aorta- reason for this examination: ? effusion history: effusion. single portable chest radiograph again demonstrates cardiomegaly. there has been interval removal of the right internal jugular central venous catheter. the left costophrenic angle was excluded from the imaged field of view. there are probable small, bilateral, persistent pleural effusions. bibasilar atelectasis persists. the patient is again seen to be status post median sternotomy. the trachea is midline. dr. approved: mon 4:47 pm cardiology report echo study date of patient/test information: indication: intraop tee for avr ascendind aorta replacement status: inpatient date/time: at 16:26 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2006aw590-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left ventricle - septal wall thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: *6.4 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 30% to 35% (nl >=55%) aorta - : *4.1 cm (nl <= 3.4 cm) valve - peak gradient: 54 mm hg valve - lvot diam: 2.2 cm valve - valve area: *0.8 cm2 (nl >= 3.0 cm2) interpretation: findings: right atrium/interatrial septum: normal interatrial septum. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. moderately dilated lv cavity. moderate regional lv systolic dysfunction. moderately depressed lvef. lv wall motion: regional lv wall motion abnormalities include: basal anterior - hypo; mid anterior - hypo; basal anteroseptal - hypo; mid anteroseptal - hypo; basal inferoseptal - hypo; mid inferoseptal - hypo; basal inferior - hypo; mid inferior - akinetic; basal inferolateral - hypo; mid inferolateral - akinetic; basal anterolateral - hypo; mid anterolateral - akinetic; anterior apex - hypo; septal apex - hypo; inferior apex - akinetic; lateral apex - akinetic; apex - akinetic; right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated root. focal calcifications in root. moderately dilated aorta. focal calcifications in aorta. simple atheroma in descending aorta. valve: three valve leaflets. severely thickened/deformed valve leaflets. severe as. moderate (2+) ar. mitral valve: moderately thickened mitral valve leaflets. mild mitral annular calcification. mild to moderate (+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. conclusions: pre-cpb left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is moderate regional left ventricular systolic dysfunction. overall left ventricular systolic function is moderately depressed. resting regional wall motion abnormalities include severe hypokinesis/akinesis of mid and distal inferior, lateral, and posterior walls. right ventricular free wall motion is low normal. the root is mildly dilated. the aorta is moderately dilated. there are simple atheroma in the descending thoracic aorta. there are three valve leaflets. the valve leaflets are severely thickened/deformed. there is severe valve stenosis. moderate (2+) regurgitation is seen. the mitral valve leaflets are moderately thickened. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild tr. post-cpb the patient is receiving epinephrine by infusion. there is mild global lv systolic dysfunction with severe hypokinesis of mid to distal inferior, lateral, and posterior walls. lv ef= 35-40%. normal rv systolic function. a bioprosthesis is located in the position. it is well seated and displays normal leaflet function. there is no visible ai. there is no as.(=1.7 cm2). there is mild mr. graft is in situ. no new pathology is seen. unilat lower ext veins right 9:34 am unilat lower ext veins right reason: rt leg pain. recent surgery. eval for dvt medical condition: 67 year old woman with reason for this examination: r/o dvt history: 67-year-old woman with right groin pain and swelling. findings: -scale and doppler son of the right common femoral, superficial femoral, and popliteal veins were performed. normal flow, augmentation, compressibility, and waveforms are demonstrated. intraluminal thrombus is not identified. impression: no evidence of dvt. the study and the report were reviewed by the staff radiologist. dr. tham dr. brief hospital course: mrs. was admitted to the on for further management of her dyspnea on exertion. she was known to have critical stenosis by transthoracic echo from an osh. given the severity of her disease, the cardiac surgical service was consulted for surgical repair of her valve disease. she was worked-up in the usual preoperative manner including an echocardiogram which revealed severe stenosis, 2+ regurgitation and + mitral regurgitation. on , mrs. was taken to the operating room. she underwent an valve replacement using a 28mm pericardial bioprosthesis and replacement of aorta with a 28mm gelweave graft. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, she awoke neurologically intact and was extubated. beta blockade and aspirin were resumed. she was gently diuresed towards her preoperative weight. on pod 2 her pressors were weaned, chest tubes were removed, and she was transferred to the cardiac stepdown unit. beta blockade and aspirin were resumed. she was gently diuresed towards her preoperative weight. on pod 3 her epicardial wires were removed without incident. flagyl was started for g. vaginalis present in her urine. the physical therapy service was consulted to assist with her postoperative strength and mobility. her oxygen saturations improved to 100% on room air. the physical therapy service was consulted to assist with her postoperative strength and mobility. a lower extremity ultrasound was performed for right leg swelling and pain that did not show any evidence of dvt. she developed a maceration of her right groin incision for which dry sterile dressings where applied. on pod 5 she developed alternating sinus bradycardia and atrial fibrillation. no evidence of heart block was seen and the atrial fibrillation was rate controlled. the electrophysiology service was consulted who recommended possible anticoagulation if persistnet afib. there was no indication pacemaker placement. on pod 6 heparin and coumadin were intiated for persistnet afib with an inr goal of 1.5-2.0. on pod 11 mrs. her blood pressure was stable. her sternotomy incision was clean, dry, and intact without evidence of infection. her right groin incision had improved maceration. there was no purulence, fever, or elevated white blood cell count. she was discharged home on pod 12 with services in good condition, cardiac diet, sternal precautions, and instructed to follow up with her pcp and cardiologist in 2 weeks. she will follow up with dr. in three weeks. her inr will be followed by her cardiologist. medications on admission: lasix 40' protonix 40' iron 65' mvi asa 325' zocor 40' vit c 1gm' zetia 10' kcl 20'' nph 40u'' colace 100'' procrit 40qwk discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. 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:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours). disp:*qs qs* refills:*2* 8. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs qs* refills:*2* 9. insulin nph human recomb 100 unit/ml suspension sig: forty (40) subcutaneous twice a day. disp:*15 bottles* refills:*2* 10. furosemide 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. warfarin 2 mg tablet sig: one (1) tablet po once (once) for 1 doses: take as directed by dr. for an inr goal of 1.5-2.0. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: as chf cad htn iddm hypercholesteremia obesity oa s/p loa, ccy, hernia repair discharge condition: good discharge instructions: shower, wash incisions with mild soap and water and pat dry. no lotions, creams or powders to incisions. call with fever >101, redness or drainage from incision, or weight gain more than 2 pounds in one day or five pounds in one week. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. in three weeks dr. in two weeks dr. in two weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases percutaneous transluminal coronary angioplasty status long-term (current) use of insulin old myocardial infarction osteoarthrosis, unspecified whether generalized or localized, site unspecified obesity, unspecified rheumatic aortic stenosis with insufficiency 

Answer: The patient is high likely exposed to