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: history of present illness: the patient is a 49 year old caucasian female who has experienced dyspnea on exertion with associated wheezing since her 20s. she was labeled with the diagnosis of asthma and for the last three decades has been treated with bronchodilator therapy and parenteral corticosteroids. her dyspnea on exertion and wheeze have only been associated with exercise, and there have been no trigger exacerbations consistent with asthma. she was referred to division of pulmonary and critical care medicine in medical college by her primary care physician for pulmonary function testing which revealed clipping of the expiratory phase consistent with variable intrathoracic obstruction. bronchoscopy was performed on , at that site which revealed external compression of the trachea two thirds of the way to the carina with posterior and lateral wall impingement. the lumen was assessed to be approximately 5.0 millimeters in diameter. there was also approximately a 30% lumen diameter decrease with forced expiration. followed with contrast ct at that same site was performed revealing a double aortic arch with right side larger than left with respective carotid and subclavian arteries on the ipsilateral arches. tracheal narrowing at the level of the double arch was approximately 8.0 millimeters. she was then referred to the for correction of double aortic arch and pulmonary follow-up. she was referred to on , and admitted to the hospital on , for surgery. past medical history: 1. recurrent sinusitis requiring antibiotics approximately four times per year. 2. intolerance to lactose. 3. degenerative joint disease of the neck and back. past surgical history: partial hysterectomy for fibroids in the remote past. allergies: tetanus diphtheroid. medications on admission: the patient was only on advair as her current medication. social history: the patient is married with two children, age 32 and 25. she is employed as an accountant clerk in the state of . she is a life long nonsmoker and nondrinker. family history: father died at age 60 of renal disease. mother age 82 with hypertension. brother died at age three of laryngeal mass. sister age 26 with thyroid disease. sister age 32 with asthma. physical examination: on admission, physical examination revealed the patient was afebrile with stable vital signs. generally, the patient was mildly obese. the skin had good tone, no obvious skin disease. head, eyes, ears, nose and throat examination - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. anicteric, not injected. neck without jugular venous distention, without bruits. the chest was clear to auscultation bilaterally, occasional expiratory wheezes were heard. the heart was regular rate and rhythm, occasional faint i/vi systolic ejection murmur was heard. the abdomen was soft, nontender, nondistended without hepatosplenomegaly. negative for costovertebral angle tenderness. hypoactive bowel sounds. well healed scars. extremities were warm and well perfused without cyanosis, clubbing or edema. no varicosities were seen on the extremity examination with positive spider veins bilaterally. neurologically, cranial nerves ii through xii are grossly intact. examination is focal with excellent strength in all four extremities. pulse examination showed 1+ femoral right and left, dorsalis pedis and posterior tibial were 2+ bilaterally. radial right was 1+ and left was 2+. laboratory data: on admission, the patient had mr of chest, mediastinum with and without contrast with magnetic resonance imaging which showed right sided aortic arch and descending aorta with mirror image, branching of the arch vessels, no cardiac structural abnormality was seen. large diverticulum arising from the proximal descending aorta nearly forming a complete double aortic arch. the left subclavian artery and diverticulum were in close approximation, nonvisualized ligament could exist between the two and form a complete ring. the trachea was focally narrowed at that level. white blood cell count on admission was 9.3, hematocrit 39.8, platelet count 255,000. prothrombin time was 12.2, partial thromboplastin time 26.0 and inr was 1.0. urinalysis was negative . chemistries were sodium 144, potassium 3.6, chloride 102, bicarbonate 31, blood urea nitrogen 19, creatinine 0.6, glucose 136. ast 21, total bilirubin 0.3. the patient had cardiac catheterization done preoperatively which showed no mitral regurgitation and a left ventricular ejection fraction of 60%. right dominant coronary angiography. left main coronary artery was normal, left anterior descending was normal, left circumflex was normal, right coronary artery was normal and dominant vessel. supravalvular aortography revealed normal appearing but right sided offending but likely double arch. there was a common left sided great vessel origin in ascending with a lcca and lsca. the rcca was next and the right sca was last. there is no evidence of diverticulum in the cine images obtained. hospital course: the patient was taken to the operating room for double arch decompression and tracheomalacia. the patient was operated , and had aortic segmentectomy and tracheoplasty. on postoperative day one, the patient did extremely well, was on insulin drip of three, nitroglycerin of one, was weaned off neo-synephrine, and was transferred to the floor. on postoperative day two, the patient continued to do well, however, on chest x-ray, slight pneumothorax in the left apices was found. repeat chest x-ray showed resolution of pneumothoraces. physical therapy began working with the patient and continued to work with the patient throughout hospital course until the patient was cleared one day before discharge. the patient was discharged on , postoperative day five, with lungs clear to auscultation bilaterally, cardiac examination regular rate and rhythm, abdomen soft, nontender, nondistended and the patient was afebrile and vital signs were stable on discharge. medications on discharge: 1. colace 100 mg p.o. twice a day. 2. zantac 150 mg p.o. twice a day. 3. percocet one to two tablets p.o. q4-6hours p.r.n. pain. 4. fluticasone 110 mcg two puffs twice a day. 5. albuterol ipratropium one to two puffs q6hours p.r.n. 6. lopressor 50 mg p.o. twice a day. 7. lasix 20 mg p.o. twice a day times one week. 8. potassium chloride 20 meq p.o. twice a day times one week. fop plans: the patient was instructed to follow-up interventional pulmonary for bronchoscopy in four weeks and was instructed to call , for consultation bronchoscopy with dr. . the patient had ct of neck with tracheal reconstruction without contrast the day of discharge and the patient was also instructed to follow-up with dr. four weeks after discharge. the patient was also instructed to follow-up with primary care physician in one to two weeks and cardiologist in two to three weeks. condition on discharge: good. die status: to home to . the patient was told that dr. office will be in touch with her for follow-up appointments. , m.d. dictated by: medquist36 procedure: angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter other repair and plastic operations on trachea other surgical occlusion of vessels, aorta, abdominal diagnoses: hematoma complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation anomalies of aortic arch 

Answer: The patient is high likely exposed to