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: no known allergies / adverse drug reactions attending: chief complaint: syncope major surgical or invasive procedure: coronary artery bypass grafts x 3(lima-lad,svg-om,svg-pda), closure patent foramen ovale, aortic valve replacement(21 ce magna epic),tricuspid valve repair(annuloplasty ring) history of present illness: this 72 year old white female was admitted to another institution with a syncopal event. she has had recent episodes of standing up from wheelchair and feeling lightheaded. one episode with possible loss of consciousness for approximately 1 minute. she denies other symptoms. echocardiogram in showed aortic valve area of 0.6, ef 50-55%. she was catheterized at hospital today which revealed multivessel disease and critical aortic stenosis. she was transferred to for surgery. past medical history: calcified as with normal lv function pvd with moderate left carotid artery stenosis osteopenia depression stroke in2003 with right sided hemiparesis residual hypercholesterolemia polio as child - wears right sided leg brace right foot surgery in left ankle surgery for fracture cholecystectomy social history: lives with: husband - married 49 years occupation: tobacco: none etoh: none walks ~ 1 mile/day family history: family history: parents both died in 60's race: caucasian last dental exam: 2 months ago - upper dentures physical exam: t 98.2 pulse:66 resp:18 o2 sat: 98% ra b/p right: 127/81 left: height:5'1" weight:152# general:aaox 3 in nad, pleasant skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iv/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none deformities of b/l feet neuro: grossly intact, right sided strength 3/5 upper and lower extremity, left sided 5/5 strength pulses: femoral right:minimal bleeding at cath site left:2+ dp right:1+ left:1+ pt :1+ left:1+ radial right:2+ left:2+ carotid bruit transmitted murmur b/l pertinent results: echo: prebypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. a patent foramen ovale is present with a left-to-right shunt seen at rest. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the right ventricular cavity is dilated with borderline normal free wall function. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is mild valvular mitral stenosis (area 1.5-2.0cm2) and moderate mac. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. severe tricuspid regurgitation is seen. there is no pericardial effusion. postbypass: the patient is a paced and is on an infusion of epinephrine. there is a bioprosthetic valve in the aortic position which appears well-seated without evidence of perivalvular leak. there is a trace amount of central aortic regurgitation. gradients are peak/mean 21/11 mmhg at a co of 5 l/min. there is a ring around the tricuspid annulus. tricuspid regurgitation is now trace. mitral regurgitation continues to be trace. biventricular systolic function is unchanged. the thoracic aorta is intact post decannulation. carotid u/s: findings consistent with less than 40% stenosis on the right and 60-69% stenosis on the left. head ct: 1. large chronic infarction in the left posterior cerebral artery territory, which also involves the parasagittal left parietal lobe, likely due to vascular variation. 2. numerous chronic microvascular infarcts in the supratentorial white matter and deep nuclei. 3. no evidence of acute intracranial abnormalities. chest ct: 1. extensive calcifications of the very proximal ascending aorta with sparing of the rest of the anterior wall of the ascending aorta and the proximal arch. 2. severe aortic valve calcifications. severe coronary artery calcifications. papillary muscle calcifications that in conjunction with some aneurysmatic configuration of the left ventricle would be concerning prior myocardial infarction. 3. several pulmonary nodules that should be further followed in one year for documentation of stability based on their size. 4. several renal lesions, one of them being hyperdense and eccentric that should be correlated with renal ultrasound. abd u/s: 1. unremarkable pancreas; however, the visualization of the pancreas is very limited due to overlying bowel. 2. no biliary dilatation. 3. simple bilateral renal cysts. 4. atherosclerotic aorta with no aaa. 07:05pm blood wbc-5.5 rbc-4.07* hgb-12.7 hct-37.6 mcv-93 mch-31.1 mchc-33.6 rdw-13.8 plt ct-156 04:01am blood wbc-6.5 rbc-2.68* hgb-8.3* hct-23.2* mcv-86 mch-31.1 mchc-36.0* rdw-17.4* plt ct-94* 07:55pm blood wbc-6.3 rbc-3.17* hgb-9.8* hct-28.2* mcv-89 mch-31.0 mchc-34.8 rdw-16.8* plt ct-112* 05:26am blood wbc-6.9 rbc-3.50* hgb-10.9* hct-31.2* mcv-89 mch-31.0 mchc-34.8 rdw-16.7* plt ct-149* 07:05pm blood pt-14.9* ptt-26.6 inr(pt)-1.3* 01:39pm blood pt-18.3* ptt-117.9* inr(pt)-1.6* 05:45am blood pt-14.5* inr(pt)-1.2* 05:26am blood pt-20.7* ptt-29.1 inr(pt)-1.9* 07:05pm blood glucose-107* urean-21* creat-1.0 na-142 k-3.7 cl-106 hco3-30 angap-10 05:26am blood glucose-104* urean-33* creat-1.0 na-139 k-3.9 cl-104 hco3-28 angap-11 01:39am blood calcium-8.1* phos-2.3* mg-1.8 brief hospital course: following admission the usual preoperative workup was undertaken. on she went to the operating room where surgery was performed as noted. she weaned from bypass on propofol, neo synephrine and epinephrine in sinus rhythm. she was transferred to the cvicu for invasive monitoring in stable condition. she remained stable, was weaned from pressors and sedation, awoke neurologically intact and extubated easily. beta blockade was resumed, she was diuresed towards her preoperative weight and physical therapy was consulted. she had an orthostatic episode, without loss of consciousness on post-op day four. one unit of blood was transfused for a hematocrit of 28. diuresis was continued due to significant extravascular fluid overload. chest tubes and wires were removed per protocol. follow up appointments were made with surgery and cardiology. she was screened for rehab to allow further recovery prior to return home. on post-op day six she was discharged to colonial poplin in nh with the appropriate medications. she was restarted on coumadin post-op d/t history of cva. medications on admission: calcium with vit d coumadin 4.5 mg daily for hx cva - ld friday zocor 40 daily hctz 12.5 daily asa 325 daily discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 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. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/temp. 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 7. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 8. warfarin 1 mg tablet sig: four (4) tablet po daily (daily) as needed for cva hx. 9. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 10 days. 10. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 10 days. 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: colonial poplin nursing discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 aortic stenosis s/p aortic valve replacement tricuspid regurgitation s/p tricuspid valve repair closure of patent foramen ovale past medical history: peripheral vascular disease w/ moderate left carotid artery stenosis osteopenia depression cva with right sided hemiparesis residual hypercholesterolemia polio as child - wears right sided leg brace s/p right foot surgery in s/p left ankle surgery for fx s/p cholecystectomy several years ago discharge condition: ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments surgeon: dr. () on at 1:45pm cardiologist: dr. on at 11am please call to schedule appointments with your primary care: dr. () in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft annuloplasty other and unspecified repair of atrial septal defect endarterectomy, aorta procedure on two vessels procedure on vessel bifurcation diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified atherosclerosis of aorta aortic valve disorders occlusion and stenosis of carotid artery without mention of cerebral infarction ostium secundum type atrial septal defect long-term (current) use of anticoagulants late effects of cerebrovascular disease, hemiplegia affecting unspecified side other specified peripheral vascular diseases diseases of tricuspid valve delirium due to conditions classified elsewhere other nonspecific abnormal serum enzyme levels chronic total occlusion of coronary artery other acquired deformities of ankle and foot late effects of acute poliomyelitis other fluid overload 

Answer: The patient is high likely exposed to