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: neosporin attending: chief complaint: doe major surgical or invasive procedure: mvr/ maze/ patch repair innominate vein/removal left atrial appendage on ( 31 mm ce pericardial valve) history of present illness: 84 yo caucasian female with increasing doe/orthopnea.she has known mr and had an admission for chf at 2 weeks ago. she was visiting family at the time, and actually resides in . originally scheduled for heart surgery in , she was readmitted for chf there on and was transferred here on to move up her surgery. prior echo showed ef 55-60%, mod-severe mr, mild-mod ai, mod-severe tr, pulm. htn. cath done revealed lvedp 67, pa 48/16, nl. cors, ef 60%, severe mr. carotid us showed no significant stenosis. past medical history: iron deficiency anemia chf mr/ ai ibs osteoporosis pafib gerd tachy-brady syndrome/ s/p pacer social history: lives alone in pa retired teacher never used tobacco no etoh use family history: son died of mi at age 52 brother died of mi at age 60 physical exam: alert with no apparent deficits ctab rrr/ v pacing/holosystolic murmur abd benign extrems warm, trace ankle edema bilat. 97.4 hr 68 rr 18 132/67 96% rasat. 64" 67.5 kg pertinent results: 06:06am blood wbc-12.1* rbc-3.14* hgb-9.7* hct-29.1* mcv-93 mch-30.9 mchc-33.3 rdw-14.9 plt ct-113* 03:35am blood wbc-10.4 hct-28.0* 03:35am blood pt-12.7 inr(pt)-1.1 06:06am blood plt ct-113* 06:06am blood glucose-89 urean-19 creat-0.8 na-135 k-4.0 cl-99 hco3-29 angap-11 03:35am blood k-4.6 01:15pm blood glucose-102 urean-21* creat-0.9 na-136 k-4.4 cl-95* hco3-35* angap-10 01:15pm blood alt-38 ast-23 ld(ldh)-252* alkphos-137* amylase-60 totbili-0.4 01:15pm blood lipase-30 04:37am blood calcium-8.2* phos-3.5 mg-1.8 brief hospital course: admitted by transfer and pre-operative work-up was completed. carotid us was repeated which showed right ica 40-59%, and left ica < 40%. cipro started for a uti that delayed surgery for a few days. chest ct done for a pulm. nodule found on cxr, but this was unremarkable. underwent mvr/maze/ patch repair innominate vein / removal left atrial appendage with dr. on . trasnferred to the csru in stable condition on epinephrine, neo, and propofol drips. she remained on insulin, neo and epinephrine drips on pod #1, but had been successfully extubated overnight. swan and chest tubes removed on pod #2. hit panel sent for decreasing platelet count. ep consult also done to readjust her pacer. diuresis and digoxin were started. pacing wires removed on pod #4 and electrolytes were corrected. hit panel negative. transferred to the floor on to begin increasing her activity level. nutrition consult also done. coumadin/amiodarone started post-maze. bedside swallowing eval also done. she continued to make good progress and was cleared for discharge to rehab on pod #6. she should follow up with her pcp and cardiologist dr. as listed. medications on admission: nadolol 40 mg daily dogoxin 0.125 mg daily lisinopril 20 mg daily lipitor 10 mg daily asa 81 mg daily lasix 40 mg daily protonix 40 mg daily evista 60 mg daily discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. warfarin 1 mg tablet sig: two (2) tablet po daily (daily): dose today only is 2 mg; next doses rehab md. 5. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours). 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 9. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 10. digoxin 125 mcg tablet sig: one (1) tablet po every other day (every other day). 11. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 12. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 5 days: 400 mg for 5 days, then 400 mg daily for 7 days; then 200 mg daily ongoing. 13. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 14. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 15. raloxifene 60 mg tablet sig: one (1) tablet po once a day. 16. lasix 40 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: rehab and skilled nursing of discharge diagnosis: s/p mvr / maze/ repair innominate vein/removal left atrial appendage chf anemia pafib gerd ibs osteoporosis tachy-brady syndrome/ pacer discharge condition: good discharge instructions: no lotions, creams or powders on any incision may shower over incision and pat dry no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever, redness or drainage followup instructions: see dr. or dr. in weeks see dr. (card) in weeks see dr. in 4 weeks procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach open and other replacement of mitral valve with tissue graft transfusion of packed cells repair of blood vessel with tissue patch graft artificial pacemaker rate check diagnoses: esophageal reflux urinary tract infection, site not specified hyposmolality and/or hyponatremia atrial fibrillation other chronic pulmonary heart diseases mitral valve insufficiency and aortic valve insufficiency accidental puncture or laceration during a procedure, not elsewhere classified rheumatic heart failure (congestive) osteoporosis, unspecified diseases of tricuspid valve fitting and adjustment of cardiac pacemaker irritable bowel syndrome 

Answer: The patient is high likely exposed to