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: doe x several months major surgical or invasive procedure: redo mvr history of present illness: this is a 61 yo female s/p cabg x 3 adn mvr on with nes complaints od dyspnea on exertion. finding of new murmur by pcp and echo finding 4+ mr. past medical history: mi cad/mr ischemia and valvular cardiomyopathy lv systolic dysfunction ^ lipids htn s/p cabg x 3 and mv repair in social history: lives alone in , ma. works in real estate. + 80 pk year tob hx -- quit 1.5 years ago. family history: no known cad physical exam: on presentation: vs hr 84 regular, bp 124/66. ht 5'8" wt 200# general: appears stated age in nad -- anxious. skin: warm, dry, + rash on left knee. neck: supple, no jvd, no lymphadenopathy. chest: cta bilat. cv: rrr. s1s2 with ii/vi murmur in apex. abd: nt. nd, + bs. extremities: no varicosities. neuro: cn ii-xii intact. a+o x 3. pertinent results: 11:05pm wbc-15.3*# rbc-3.51* hgb-10.0*# hct-30.2* mcv-86 mch-28.6 mchc-33.3 rdw-14.0 11:05pm plt count-299 11:05pm pt-14.1* ptt-32.4 inr(pt)-1.2 06:20pm urea n-15 creat-0.7 chloride-111* total co2-23 09:30am blood wbc-11.2* rbc-3.58* hgb-10.6* hct-31.9* mcv-89 mch-29.5 mchc-33.1 rdw-14.8 plt ct-676*# 09:30am blood plt ct-676*# 09:30am blood glucose-204* urean-13 creat-0.7 na-137 k-4.8 cl-100 hco3-28 angap-14 brief hospital course: mr was admitted on . he proceeded to the or and underwent a redo mvr with a 29mm mosiac porcine heart valve via right thoracotomy. total cardio-pulmonary bypass time was 85 minutes. there was no cross clamp time as this operation was done with a bleeding heart approach. he was tranferred to the icu in nsr rate 98, map 62, cvp 8, on neosynephrine, milrinone, insulin, and propofol drips. he was extubated on the evening of his operative day without any complications. his iv medications were weaned and both the milrinone and the neosynephrine being discontinued on the am of pod 2. he had some post-op tachycardia for which is lopressor dose was increased and ace inhibitor adjusted. he was also followed by the cradiology team and their recommendations were followed. his chest tubes remained in longer than is typical because of ongoing drainage. on pod 3 he was noted to have crepitus in his right check and upper chest. his chest tubes x 3 remained on suction with an air leak. on (pod 7) the chest tubes were put to water seal with a subsequent cxr showing a small pneumthorax and they were again put to suction. a persistent pneumothorax remined and on (pod 9) a thoracic consult was obtained with rcommendations for doxycycline sclerosis. the chest tube was eft to water seal with an ongoing leak but minimal drainage. the chest tube was clamped for a 24-hour period without any respiratory distress and was eventually discontinued on (pod 15) per the recommendations of the thoracic surgery team. mr. was followed by the physical therapy team throughout his hospital stay with initial evaluation on pod 2 and on pod 7 he was found to be for for home. on pod he was found to be safe for discharge home. medications on admission: lopressor 50 lipitor 80 daily aspirin 325 daily plavix 75 daily zestril 2.5 daily 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 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po qd (). disp:*60 tablet(s)* refills:*2* 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po qd (). disp:*30 tablet(s)* refills:*2* 5. ibuprofen 600 mg tablet sig: one (1) tablet po every six (6) hours: take with food. disp:*120 tablet(s)* refills:*2* 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. lisinopril 5 mg tablet sig: 0.5 tablet po qd (). disp:*15 tablet(s)* refills:*2* 8. oxycodone hcl 5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 10. plavix 75 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: s/p redo mvr (#29 mosaic porcine) vis right thoracotomy htn, ^ chol, cardiomyopathy, s/p mvr/cabg ' persistent right pneumothorax discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed call for any fever, redness or drainage from wound followup instructions: dr in wks dr in wks dr in 4 wks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft injection into thoracic cavity continuous intra-arterial blood gas monitoring diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension aortocoronary bypass status percutaneous transluminal coronary angioplasty status mechanical complication due to heart valve prosthesis iatrogenic pneumothorax 

Answer: The patient is high likely exposed to