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: lisinopril attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: redo sternotomy and tricuspid valve replacement with a 31-mm mosaic tissue valve. history of present illness: 79 year old female with progressive dyspnea on exertion with plan for tricuspid valve replacement, with recent admission for heart failure. past medical history: severe tricuspid regurgitation, right-sided heart failure, status post mitral valve repair pmh: chronic heart failure atrial fibrillation hypertension varicose veins with chronic venous insufficiency hemorrhoids glaucoma elevated creatinine related to diuretic use (last 1.5) social history: originally from . she lives with her husband in , ma. she has six healthy children, 5 of which live in the area, one in . she is a lifetime nonsmoker, nondrinker, no iv drug use. family history: melanoma brother, cva mother. otherwise, non-contributory. no premature coronary artery disease physical exam: pulse: 64 resp: 18 o2 sat: 96% ra b/p 116/70 general: no acute distress skin: warm, well healed sternotomy : perrl, eomi, upper and lower partials. teeth in good repair. neck: supple full rom +jvd chest: clear diminished heart: irregular rate and rhythm, ii/vi holosystolic and ii/vi diastolic murmur abdomen: soft, non-tender, bowel sounds +. extremities: warm , well-perfused 2+ le edema varicosities: significant on right, moderate on left small raised area left shin no erythema no drainage neuro: alert oriented x3 nonfocal pulses: femoral right: +1 left: +1 dp right: doppler left: doppler pt : doppler left: doppler radial right: +1 left: +1 carotid bruit right: no bruit left: murmur vs bruit pertinent results: 04:30am blood hct-33.1* 04:30am blood pt-21.5* inr(pt)-2.0* 04:30am blood urean-35* creat-1.1 na-139 k-4.1 cl-100 04:30am blood alt-29 ast-42* alkphos-138* amylase-192* totbili-2.2* 04:49am blood wbc-7.6 rbc-3.62* hgb-10.8* hct-33.3* mcv-92 mch-29.8 mchc-32.4 rdw-19.2* plt ct-174 03:14am blood wbc-5.5 rbc-3.43* hgb-10.4* hct-31.1* mcv-91 mch-30.4 mchc-33.5 rdw-18.8* plt ct-139* 04:49am blood pt-21.5* ptt-30.4 inr(pt)-2.0* 04:49am blood glucose-83 urean-39* creat-1.2* na-136 k-4.1 cl-97 hco3-32 angap-11 03:14am blood glucose-118* urean-47* creat-1.3* na-137 k-3.9 cl-99 hco3-33* angap-9 01:56am blood alt-31 ast-77* ld(ldh)-420* alkphos-100 totbili-8.7* intra-op tee conclusions the left atrium is mildly dilated. the right atrium is markedly dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. the right ventricular cavity is markedly dilated with severe global free wall hypokinesis. the aortic valve leaflets are moderately thickened (?#). there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. a mitral valve annuloplasty ring is present. the mitral annular ring appears well seated with normal gradient. mild (1+) mitral regurgitation is seen. a well-seated bioprosthetic tricuspid valve is present. the leaflets open well (gradient was not assessed). mild tricuspid regurgitation is suggested through a paravalvular leak. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study (images reviewed) of , the right ventricular cavity size is slightly smaller, with similar systolic function and severity of tricuspid regurgitation. a similar aortic valve gradient is obtained on the current study which is not suggestive of aortic valve stenosis. brief hospital course: the patient was taken to the operating room on and underwent a redo sternotomy and tricuspid valve replacement with a 31-mm mosaic tissue valve. see operative notes for full details. post operatively she was extubated on post operative day 1. she was weaned off epinephrine, levophed and continued on vasopressin for several days. she developed hyponatremia and vasopressin was switched to neosynephrine. this was weaned off by post operative 5. she developed post operative atrial fibrillation and was started on amiodarone and was rate controlled atrial fibrillation at the time of discharge. she was anticoagulated with coumadin for a fib and inr is to be followed at rehab with a goal of . she was followed by hepatology for elevated liver function tests preopoeratively which were thought to be due to liver congestion. these were trending down at the time of discharge. she became oliguric post operatively and the nephrology service was consulted. she had acute kidney failure on top of chronic renal insufficency. she responded minially to lasix bolus and drips and creatinine peaked at 2.6. she had a pa catheter replaced on post operative day 5 to assess fluid status. she started to respond to diuresis with lasix and creatinine decreased to 1.1 at the time of discharge. her pleural chest tubes were left in due to high drainage and the left pleural chest tube was pulled post operative day 9 and the right chest tube was removed post operative day 10. pacing wires were removed without incidence. on post operative day 11 she was transferring to the chair with assistance and physical therapy continued to work with her to improve strength and endurance. her incisions were healing well and she was tolerating a full po diet with strong encouragement. she was felt safe for discharge to at rehab at this time. medications on admission: multivitamin 1 tablet daily famotidine 20 mg daily calcium 500 + d (d3) 500-125 mg-unit tablet twice a day carvedilol 12.5 mg twice a day furosemide 60 mg twice a day loperamide 2 mg as needed as for diarrhea. discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). tablet, delayed release (e.c.)(s) 2. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed for loose stool. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. 7. famotidine 20 mg tablet sig: one (1) tablet po once a day. 8. coumadin 1 mg tablet sig: as directed tablet po once a day: 2mg alternating with 3mg. received 2mg on . 9. outpatient lab work inr goal of for atrial fibrillation. she takes 2mg alternating with 3mg to attain this goal. 10. furosemide 10 mg/ml syringe sig: sixty (60) mg injection once a day. discharge disposition: extended care facility: tba discharge diagnosis: severe tricuspid regurgitation, right-sided heart failure, status post mitral valve repair pmh: chronic heart failure atrial fibrillation hypertension varicose veins with chronic venous insufficiency hemorrhoids glaucoma elevated creatinine related to diuretic use (last 1.5) discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage 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** followup instructions: provider: , md phone: date/time: 1:30 cardiologist: dr. @ 1:00 pm please call to schedule the following: primary care dr. , a. in weeks hepatologist: dr. in weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of tricuspid valve with tissue graft diagnoses: other iatrogenic hypotension anemia, unspecified acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other chronic pulmonary heart diseases unspecified glaucoma chronic kidney disease, unspecified long-term (current) use of anticoagulants other ascites chronic diastolic heart failure venous (peripheral) insufficiency, unspecified tricuspid valve disorders, specified as nonrheumatic chronic passive congestion of liver asymptomatic varicose veins residual hemorrhoidal skin tags 

Answer: The patient is high likely exposed to