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: augmentin / vicodin / zocor attending: chief complaint: fatigue major surgical or invasive procedure: aortic valve replacement 19-mm st. medical epic biocor tissue valve coronary artery bypass grafting x2 with reverse saphenous vein graft to the marginal branch and the posterior descending artery. history of present illness: 77 year old female who had been fairly active and had been limited by fatigue over the previous month. echo from revealed aortic stenosis with a valve area of 0.83cm2. she underwent cardiac catheterization which revealed two vessel coronary artery disease. she was referred for aortic valve replacement and revascularization. date: place: lm- no obstruction lad- minimal luminal irregularities cx- 85% mid rca- 80% mid and distal echo: 0.7cm2, pk 65, mn 35 carotid ultrasound: 50-69% stenosis of / past medical history: borderline hyperlipidemia aortic stenosis psoriasis coronary artery disease osteoporosis gastroesophageal reflux disease fibromyalgia hepatitis treated in sleep apnea-does not use cpap 4.2 cm abdominal aortic aneurysm ectopic pregnancy past surgical history right total knee replacement tonsillectomy appendectomy social history: race: caucasian last dental exam: edentulous lives with: husband and daughter occupation: retired tobacco: 50 pack years (1ppd until several wks ago) etoh: occasional etoh and denies illicit drug use. family history: grandmother had "heart condition" physical exam: pulse: 74 resp: 16 o2 sat: 99%ra b/p right: 130/69 left: 136/78 height: 5'1" weight: 140lb general: well developed female in no acute distress skin: dry intact numerous psoriatic plaques- prominent on right elbow, bilateral knees and lateral legs (right worse than left) heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 2/6 sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none (psoriasis as above) (*lle likely better for vein harvest*) neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: left: bruit vs. radiation of cardiac murmur pertinent results: 04:45am blood wbc-12.1* rbc-3.27* hgb-10.1* hct-29.8* mcv-91 mch-30.9 mchc-33.9 rdw-13.5 plt ct-109* 04:45am blood glucose-129* urean-19 creat-1.2* na-135 k-4.7 cl-104 hco3-21* angap-15 echo : pre-bypass: the left atrium is dilated. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. no mass or thrombus is seen in the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. there are complex (mobile) atheroma in the aortic arch. there are complex (mobile) atheroma in the descending aorta. 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. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on ms. before surgical incision. post-bypass: preserved biventricualr systolic function. lvef 50%. intact thoracic aorta. the aortic b ioprosthesis is well seated, stable and functioning well with residual m ean gradient of 15mm of hg. brief hospital course: the patient was admitted to the hospital and brought to the operating room on for an aortic valve replacement 19-mm st. medical epic biocor tissue valve and coronary artery bypass grafting x2 with reverse saphenous vein graft to the marginal branch and the posterior descending artery. see operative note for full details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. a left sided chest tube was placed post operatively for a large pneumothorax which resolved after placement. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes were placed to waterseal on pod2 and she subsequently developed significant left sided subcutaneous emphysema and was placed back on suction. she remained hemodynamically stable without respiratory distress. repeat chest xray on pod 3 showed stable pneumothorax with decreased subcutaneous air. chest tubes and pacing wires were subsequently discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was cleared by dr. for discharge to home on pod#5 in good condition with appropriate follow up instructions. medications on admission: motrin 600 mg every 4-6 hours as needed omeprazole 20 mg daily loratidine 10 mg daily aspirin 81mg daily allergies: augmentin, vicodin discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 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. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 6. hydrocortisone 0.5 % cream sig: one (1) appl topical tid (3 times a day) as needed for itchiness. 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 9. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 10. lasix 40 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: aortic stenosis/ coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments surgeon dr. on at 1:00 pm please call to schedule the following appointments: primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension aortic valve disorders iatrogenic pneumothorax unspecified sleep apnea osteoporosis, unspecified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation abdominal aneurysm without mention of rupture emphysema (subcutaneous) (surgical) resulting from procedure knee joint replacement myalgia and myositis, unspecified other psoriasis 

Answer: The patient is high likely exposed to