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: morphine / lipitor / welchol / percocet / tape / synvisc attending: chief complaint: chest pain/dyspnea on exertion major surgical or invasive procedure: aortic valve replacement (19mm pericardial tissue valve) history of present illness: 72 y/o female who developed chest pain and shortness of breath in . she was admitted to osh and r/o for an mi. she was medically managed and underwent an echo and cath. echo showed severe aortic stenosis and moderate insufficiency. cath revealed similar valvular disease along with no coronary disease. referred for surgical management. past medical history: aortic valve stenosis and insufficiency, congestive heart failure, hypertension, hyperlipidemia, congenital complete heart block s/p ppm , apical lv thrombus, peptic ulcer disease, osteopenia, s/p hysterectomy, s/p appendectomy, s/p cholecystectomy, s/p repair of right rotator cuff tear x 3, s/p cataract surgery social history: denies tobacco use. admits to one etoh beverage/day. family history: nc physical exam: vs: 58 18 122/68 5'2" 128# gen: wdwn female in nad skin: w/d intact heent: eomi, perrrl, ncat neck: supple, from -jvd chest: ctab heart: rrr 3/6 sem abd: soft, nt/nd +bs ext: warm, well-perfused, trace edema neuro: a&o x 3, mae, non-focal pertinent results: echo: pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with septal and inferior apical hypokinesis. however, due to suboptimal views other regional mwas cannot be ruled out. no apical lv aneurysm is seen. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is mildly depressed (lvef= 40 %). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is severe aortic valve stenosis (area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and av pacing. 1 bioprosthesis is well seated in the aortic position. a mild paravalvular leak is noted originating near the right coronary cusp location and directed eccentrically to the left. this did not change significantly in severity after protamine. 2. lv function is unchanged. 3. aorta is intact post decannulation. 4. other findings are unchanged. 04:20pm blood wbc-5.3 rbc-3.36* hgb-11.9* hct-33.5* mcv-100* mch-35.3* mchc-35.5* rdw-12.1 plt ct-209 05:15am blood wbc-9.4 rbc-2.54* hgb-8.9* hct-25.5* mcv-100* mch-35.2* mchc-35.1* rdw-13.3 plt ct-27*# 04:20pm blood pt-13.1 ptt-27.3 inr(pt)-1.1 01:36pm blood pt-16.0* ptt-48.1* inr(pt)-1.4* 04:20pm blood glucose-145* urean-11 creat-0.5 na-137 k-3.9 cl-99 hco3-29 angap-13 05:15am blood glucose-112* urean-12 creat-0.5 na-131* k-4.3 cl-100 hco3-22 angap-13 04:20pm blood alt-30 ast-29 ld(ldh)-231 alkphos-49 totbili-0.6 01:31am blood calcium-8.0* phos-3.4 mg-1.4* brief hospital course: ms. was admitted one day prior to surgery d/t being on coumadin for an apical lv thrombus. she was started on heparin upon admission and underwent usual pre-operative work-up. on she was brought to the operating room where she underwent an aortic valve replacement. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. later on op day she was weaned from sedation, awoke neurologically intact and extubated. chest tubes were removed on post-op day one. she was started on beta blockers and diuretics and gently diuresed towards her pre-op weight. also on post-op day one her pacemaker was interrogated by ep and she was transferred to the telemetry floor for further care. an intraoperative tee showed that there was no lv thrombus, so her coumadin was discontinued. on she noted fatigue. her bloodwork from that am showed that her hct was 21.7. she was transfused one unit of packed red blood cells with improvement of symptoms and her hct rose to 27.3. throughout her post-operative course she continued to experience "" chest pain along her ribcage bilaterally. was worse with inspiration. she stated it was "held at bay" with ibuprofen and dialudid. ekg was unchanged and she was able to ambulate without worsening of pain. physical therapy evaluated and felt she was appropriate to d/c home. medications on admission: hctz 25mg qd, ativan prn, toprol xl 25mg qd, diovan 20mg qd, digoxin 0.25mg m/w/r/s/s and 0.375mg t/f, alendronate 70 wkly, coumadin 2mg qod, mvi, vit d, senna discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days: take for one week. disp:*14 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days: please take this as long as you take lasix. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 7. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*90 tablet(s)* refills:*0* 8. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 12. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*0* 14. alendronate 70 mg tablet sig: one (1) tablet po once a week. disp:*4 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: aortic valve stenosis and insufficiency s/p aortic valve replacement pmh: congestive heart failure, apical lv thrombus, hypertension, hyperlipidemia, congenital complete heart block s/p ppm , peptic ulcer disease, osteopenia, s/p hysterectomy, s/p appendectomy, s/p cholecystectomy, s/p repair of right rotator cuff tear x 3, s/p cataract surgery discharge condition: good discharge instructions: 1)shower daily. wash incisions with soap and water. pat dry only. please do not apply lotions or creams to surgical incisions. 2)no driving for at least one month. 3)no lifting more than 10lbs for at least 10 weeks. 4)call cardiac surgeon if there is any concern for sternal wound infection. followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft artificial pacemaker rate check diagnoses: congestive heart failure, unspecified unspecified essential hypertension aortic valve disorders systolic heart failure, unspecified other and unspecified hyperlipidemia cardiac pacemaker in situ disorder of bone and cartilage, unspecified other ill-defined heart diseases other heart block 

Answer: The patient is high likely exposed to