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: shortness of breath/dizziness/angina major surgical or invasive procedure: coronary artery bypass grafting times one (lima>lad), aortic valve replacement with a 21mm st. epic porcine history of present illness: this is a 60 year old female with known aortic stenosis who has been followed by serial echocardiograms. her most recent echocardiogram in revealed severe aortic stenosis which had significantly worsened from her last echocardiogram in . recent cath also revealed lad and cx disease. given the progression and severity of her disease, she has been referred for surgical evaluation. current symptoms include dyspnea on exertion and occasional episodes of "burning" in her chest with exertion. she denies syncope, pnd, orthopnea, but has had c/o dizziness which she has been told is vertigo. on , she presented for elective cabg and avr. past medical history: aortic stenosis, probable bicuspid valve coronary artery disease ? tia hypertension diabetes mellitus dyslipidemia hypothyroidism obesity mild copd, recent bronchitis sleep apnea, on cpap history of detached retina after mva/legally blind r eye gerd depression right bundle branch block vertigo peripheral neuropathy ? claudication vs. fatigue (r>l) past surgical history: s/p left hip surgery r eye past cardiac procedures: none social history: lives with:alone, family nearby occupation:retired cigarettes: smoked no yes last cigarette _____ hx: other tobacco use:none illicit drug use-none family history: unknown physical exam: pulse: resp: o2 sat: b/p right: 145/69 left: 143/73 height: 63" weight: 200 general:nad, obese,walks slowly skin: dry intact heent: perrla eomi ** decreased reactivity of r pupil due to large iridectomy neck: supple full rom no jvd appreciated chest: lungs clear bilaterally heart: rrr irregular murmur grade holosystolic radiates to b carotids______ abdomen: soft non-distended non-tender bowel sounds-hypoactive;obese extremities: warm , well-perfused edema _none____ varicosities: none neuro: grossly intact ;mae strengths; nonfocal exam pulses: femoral right:trace to 1+ left:trace to 1+ dp right: 1+ left:1+ pt : np left:np radial right: 2+ left:2+ carotid bruit: murmur radiates to b carotids pertinent results: echocardiography report , (complete) done at 10:57:56 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 60 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. icd-9 codes: 786.51, 424.1 test information date/time: at 10:57 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2012aw-:1 machine: 1 echocardiographic measurements results measurements normal range left ventricle - ejection fraction: >= 55% >= 55% findings multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: mild la enlargement. right atrium/interatrial septum: normal ra size. normal interatrial septum. left ventricle: moderate symmetric lvh. normal lv cavity size. normal regional lv systolic function. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in ascending aorta. simple atheroma in descending aorta. no thoracic aortic dissection. aortic valve: severely thickened/deformed aortic valve leaflets. critical as (area <0.8cm2). mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: written informed consent was obtained from the patient. a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass: severe as with valve area of 0.7 cm2. normal lv systolic function with lvef > 55% and moderate lvh. the left atrium is mildly dilated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. no thoracic aortic dissection is seen. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. intact interatrial septum. no clot seen in laa. normal coronary sinus. significant diastolic dysfunction with e' < 8 cm/sec. postbypass: normal lv systolic function normal functioning mechanical valve prosthesis. otherwise no change. electronically signed by , md, interpreting physician 10:30 05:11am blood wbc-10.3 rbc-3.04* hgb-9.4* hct-27.7* mcv-91 mch-31.0 mchc-34.0 rdw-13.9 plt ct-167 05:11am blood glucose-122* urean-37* creat-1.4* na-143 k-4.3 cl-105 hco3-29 angap-13 brief hospital course: on , ms. an elective coronary artery bypass grafting times one and aortic valve replacement with a porcine tissue valve. she tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. by the following day she was extubated. her chest tubes were removed. she transferred to the surgical step down floor. her epicardial wires were removed. she was seen by physical therapy. by post-operative day four she was ready for discharge to healthcare in . her expected length of stay at this rehab is less than thirty days. all follow-up appointments were advised. medications on admission: albuterol sulfate - (prescribed by other provider) - 90 mcg hfa aerosol inhaler - 2 puffs inh prn amitriptyline - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth once a day citalopram - (prescribed by other provider) - 40 mg tablet - 1.5 tablet(s) by mouth once a day furosemide - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth once a day insulin aspart - (prescribed by other provider) - 100 unit/ml insulin pen - 100 units sc as directed insulin glargine - (prescribed by other provider) - 100 unit/ml solution - 0.1mg once a day levothyroxine - (prescribed by other provider) - 50 mcg tablet - 1 tablet(s) by mouth once a day metoprolol tartrate - (prescribed by other provider) - 100 mg tablet - 1 tablet(s) by mouth three times a day ranitidine hcl - (prescribed by other provider) - 150 mg capsule - 1 capsule(s) by mouth twice a day rosuvastatin - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day valsartan - (prescribed by other provider) - 160 mg tablet - 1 tablet(s) by mouth twice a day aspirin - (prescribed by other provider) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. valsartan 160 mg tablet sig: one (1) tablet po bid (2 times a day). 3. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 5. amitriptyline 50 mg tablet sig: 0.5 tablet po hs (at bedtime). 6. citalopram 20 mg tablet sig: three (3) tablet po daily (daily). 7. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). tablet(s) 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 9. lasix 40 mg tablet sig: one (1) tablet po three times a day for 5 days: titrate per exam, cre/bun, and weight. disp:*15 tablet(s)* refills:*0* 10. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheezing. disp:*qs * refills:*0* 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. lantus 100 unit/ml solution sig: thirty (30) units subcutaneous at breakfast. disp:*qs * refills:*2* 13. insulin lispro 100 unit/ml solution sig: sliding scale units subcutaneous four times a day. disp:*qs units* refills:*2* 14. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). disp:*qs units* refills:*2* 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). discharge disposition: extended care facility: healthcare center at discharge diagnosis: severe aortic stenosis coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 1+ discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. on at 1:00pm cardiologist: dr. on at 11:30am please call to schedule appointments with your primary care dr., i. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified aortic valve disorders diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes depressive disorder, not elsewhere classified other and unspecified hyperlipidemia hypotension, unspecified long-term (current) use of insulin personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits obesity, unspecified acute edema of lung, unspecified profound impairment, one eye, impairment level not further specified 

Answer: The patient is high likely exposed to