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: ambien / percocet attending: chief complaint: daily angina and increasing sob major surgical or invasive procedure: dental extractions cardiac cath (stenting of the left subclavian artery) redo-sternotomy, aortic valve replacement, asd closure (. mechanical valve) history of present illness: 60 yo female with long-standing history of cad with cabg x3 in , and subsequent des to cx , complicated by cx dissection. vein grafts are known to be occluded since . she was recently hospitalized at osh for ruq pain. seen by dr. of general surgery for gallbladder eval/hida scanning. this showed cholecystitis, and recent echo revealed severe as. she now presents with increasing angina, sometimes at rest, and significant sob with minimal exertion. admitted to complete pre-op evaluation and repeat cath. past medical history: coronary artery disease s/p coronary artery bypass graft and cx stents , rheumatoid arthritis, osteoarthritis, fibromyalgia, hypertension, elev. cholesterol, depression cholelithiasis/cystic duct stenosis, diabetes mellitus, hypothyroidism, iron deficiency anemia, s/p total abd. hysterectomy, s/p appendectomy social history: single, has 3 children, denies etoh or tobacco family history: mother had cabg at age 48, died of cad at age 68 father had dm, cad, died of mi physical exam: 98% ra sat. 142/72 hr 72 rr 20 t 99.1 63" 97.2 kg no c/c/e ncat, perrl, anicteric sclera, op benign neck supple, full rom, no jvd ctab well-healed sternotomy rrr 3/6 sem mild ruq/periumbilical tenderness extrems warm, well-perfused, no edema well-healed left leg svg harvest site neuro grossly intact, slow but steady gait, strengths and equal 2+ bil. fem/radials 1+ bil. dps/ 1+ right dp, left non-palp. ? carotid bruits bil. versus transmitted murmur pertinent results: cnis: bilateral less than 40% carotid stenosis. cath: initial diagnostic angiography revealed a proximal 70% left subclavian artery stenosis with a 40 mmhg gradient across the lesion. the stenosis was proximal to the widely patent lima-lad graft, and thus the decision was made to stent the lesion to improve flow to the lima. heparin was used for iv anticoagulation. a 6f shuttle sheath was used to engage the l subclavian artery. the lesion was crossed with a magic torque wire that was then exchange out thru a catheter for a supracore wire. a 7.0x29 mm genesis bare metal stent was deployed across the lesion at 12 atm. the stent was postdilated with an 8.0x20 mm baloon at 20 atm. final angiography revealed 0% residual stenosis, no gradient, no dissection, and normal flow. echo: pre bypass: there is severe symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with basal inferior hypokinesis. lvef 45-50%. the right ventricular cavity is moderately dilated. right ventricular systolic function is borderline normal. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. the regurgitation is central with a vena contracta between 3 and 5 mm. with provacative manuvers and elevation of blood pressure and heart rate, mitral regurgitation becomes at worst, moderate. there is blunting of the pulmonary vein flow pattern. the mitral annulus meausres, on average, 3.3 cm. the leaflets are structurally normal. the aortic regurgitation jet is eccentric, directed toward the anterior mitral leaflet. the mitral valve leaflets are structurally normal. mild to moderate (+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post bypass: preserved biventricular function. lvef 45-50%. no change in wall motion. aortic contours intact. mitral regurgitation is now trace. there is a prostethic valve in the aortic position which appears well seated without preivavlvular leaks. peak gradient 31, mean 13 mm hg. no ai. post bypass cardiac output calculated at 5.9 l/min. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. abd u/s: 1. cholelithiasis without son evidence of cholecystitis. 2. prominent common bile duct with no intrahepatic ductal dilation. 3. no ascites. cxr: increased size of small right pleural effusion. associated opacity in right lower lobe most likely atelectasis. continued mild chf. 11:30pm blood wbc-4.7 rbc-4.69 hgb-10.3* hct-31.4* mcv-67* mch-22.0* mchc-32.9 rdw-16.6* plt ct-254 02:39am blood wbc-11.6*# rbc-3.84* hgb-9.3* hct-27.7* mcv-72* mch-24.2* mchc-33.4 rdw-18.7* plt ct-205# 06:55am blood wbc-5.7 rbc-3.77* hgb-9.1* hct-28.1* mcv-75* mch-24.2* mchc-32.4 rdw-20.1* plt ct-333# 11:30pm blood pt-11.7 ptt-24.9 inr(pt)-1.0 01:35am blood pt-20.6* ptt-37.9* inr(pt)-2.0* 04:15am blood pt-20.7* ptt-37.2* inr(pt)-2.0* 05:20am blood pt-25.7* inr(pt)-2.6* 06:55am blood pt-30.7* ptt-36.5* inr(pt)-3.2* 11:30pm blood glucose-105 urean-15 creat-0.7 na-138 k-3.9 cl-106 hco3-22 angap-14 06:55am blood glucose-93 urean-9 creat-0.8 na-138 k-4.0 cl-99 hco3-30 angap-13 04:15am blood alt-10 ast-16 ld(ldh)-307* alkphos-156* amylase-37 totbili-0.2 brief hospital course: admitted on for close monitoring given angina and sob. carotid us revealed no significant disease. dental consult done, and multiple teeth extractions done . cardiac cath performed showed mod. diff. lm dz, ef 45%, patent cx stents, 100% rca, vein graft occluded, 70% left subclavian stenosis. subclavian stent placed at time of cath. cipro started for uti and ampicillin started for dental infection. rapid afib treated pre-op with associated hypertension and angina. discussed with cardiology and she eventually converted to sr with beta blockade and iv ntg (which was later d/c'ed). on she was brought to the operating room where she underwent a redo sternotomy, aortic valve replacement, and asd closure with dr. . please see operative report for surgical details. later on op day she was weaned from sedation, awoke neurologically intact and extubated. she was started beta blockers and diuretics on post-op day one and then transferred to the floor. she was gently diuresed towards her pre-op weight during post-op course. chest tubes removed without incident on post-op day two. epicardial pacing wires were removed on post-op day three. coumadin initiated with a heparin bridge for her mechanical valve. on post-op day five she was still in severe pain and pain service was consulted. also on this day her rhythm went into atrial fibrillation and amiodarone was started. at time of discharge she was in sr with frequent pac's with heart rate of 70. physical therapy followed patient during entire post-op course for strength and mobility. on post-op day six she appeared to be doing well and was discharged to rehab with the appropriate follow-up appointments. medications on admission: crestor 30 mg daily, nambutemone 1000 mg , isosorbide mn 120 mg daily, gemfibrozil 600 mg daily, trazadone 400-500 mg qhs, toprol xl 300 mg daily, synthroid 175 mcg daily, norvasc 15 mg daily, lisinopril 40 mg daily, fe 325 mg tid, vit. c daily, morphine sulfate sr 30 mg tid, vicodin prn, lasix 40 mg daily as directed, zantac 150 mg , nitro spray prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 5. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol succinate 25 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po bid (2 times a day). 7. nabumetone 500 mg tablet sig: one (1) tablet po tid (3 times a day). 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. atorvastatin 10 mg tablet sig: one (1) tablet po once a day. 10. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily () as needed for knee. 11. morphine 30 mg tablet sustained release sig: one (1) tablet sustained release po q8h (every 8 hours). 12. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg twice a day for 5 days then decrease to 400mg daily for 7 days, then decrease to 200mg daily . 13. warfarin 2.5 mg tablet sig: one (1) tablet po once (once): please give 2.5mg mon and tues then check inr wed - goal inr 2.5-3.0 for avr mechanical valve . 14. furosemide 20 mg tablet sig: two (2) tablet po q12h (every 12 hours). 15. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 16. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours): continue while on lasix. 17. trazodone 100 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. 18. morphine 15 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. discharge disposition: extended care facility: - discharge diagnosis: aortic stenosis/asd s/p redo-sternotomy, aortic valve replacement, asd closure post-operative atrial fibrillation dental infection s/p teeth extractions urinary tract infection pmh: coronary artery disease s/p coronary artery bypass graft and cx stents , rheumatoid arthritis, osteoarthritis, fibromyalgia, hypertension, elev. cholesterol, depression cholelithiasis/cystic duct stenosis, diabetes mellitus, hypothyroidism, iron deficiency anemia, s/p total abd. hysterectomy, s/p appendectomy discharge condition: stable discharge instructions: may shower over incisions and pat dry no lotions, creams , or powders on any incision no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater than 100.5, redness or drainage followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks dental: 3 surgical services at 3:00pm dr procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures angioplasty of other non-coronary vessel(s) open and other replacement of aortic valve other and unspecified repair of atrial septal defect insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) other surgical extraction of tooth cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders pulmonary collapse calculus of gallbladder with other cholecystitis, without mention of obstruction iron deficiency anemia, unspecified rheumatoid arthritis surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation stricture of artery myalgia and myositis, unspecified dental caries, unspecified acquired cardiac septal defect 

Answer: The patient is high likely exposed to