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: vicodin attending: chief complaint: chest pain major surgical or invasive procedure: s/p coronary artery bypass graft x 3/aortic valve replacement/aortic root enlargement on history of present illness: 78 y/o woman who has been reporting 4-5 months of chest pain accompanied with sob. pt. stated symptoms resolved spontaneously and has not used her nitro. tte on revealed severe as with a mean gradient of 49mmhg. pt then referred for cardiac cath which showed moderately severe aortic stenosis with valve area 0.88 cm2 and 3 vessel disease. pt. was referred for aortic valve replacement and surgical coronary revascularization. past medical history: hypertension hypercholesterolemia osteoarthritis asthma obesity chronic pedal edema d/t venous insufficiency right breast cancer s/p lumpectomy s/p left hip replacement s/p right hip replacement s/p bilat cataract surgery s/p hysterectomy 40 yrs ago rle cellulitis chronic uti's social history: widowed and lives alone. retired quit smoking 20 yrs ago. denies alcohol or recreational drug use. family history: two brothers had cabgs in their late 60s. sister has a pacemaker. physical exam: vs: 70in 250# 167/89 98%ra general: nad, a&o x 3, mae neck: supple, from heart: rrr +s1s2 3/6 sem lungs: ctab abd: soft, nt/nd +bs ext: bilat. pedal edema pertinent results: 06:10am blood wbc-7.1 rbc-3.64* hgb-11.5* hct-32.4* mcv-89 mch-31.5 mchc-35.5* rdw-15.4 plt ct-281 06:10am blood glucose-101 urean-17 creat-1.1 na-134 k-5.7* cl-95* hco3-31 angap-14 brief hospital course: pt was a direct admit and on she was taken to the operating room where she underwent a coronary artery bypass graft x 3, aortic valve replacement and aortic root enlargment. please see op note for surgical details. pt was transferred to the csru in stable condition on milrinone, epinephrine, and neosynephrine. pt remained intubated until post-op day two when she was weaned off of propofol and mechanical ventilation and extubated. she was neurologically intact. following extubation she required aggressive pulmonary toilet with nebulizers, lasix, is and needed additional oxygen support via nc. pt. required extended inotropic support and was finally weaned off of all pressors by post-op day four. she was transferred to the telemetry floor on post-operative day four. she had an episode of atrial fibrillation on post-op day five which converted back to sinus rhythm w/ amiodarone (pt already on b-blockers). she had serosanguinous drainage from her sternal wound which decreased, and this was treated with vanco. she was switched to a 10 day course of levaquin. she had severe pedal edema and was treated with iv lasix and responded well. she was discharged to rehab on pod #10 in stable condition and needs to return to 2 for a wound check in mon., . medications on admission: 1. nadolol 20mg qam 2. tamoxifen 10mg qd 3. protonix 40mg qd 4. citalopram 10mg 5. alprazolam 12.5mg qhs 6. advair diskus 1 puff 7. nitro prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). 8. tamoxifen 10 mg tablet sig: one (1) tablet po daily (daily). 9. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 11. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. tablet(s) 12. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 13. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 10 days. 14. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 15. lasix 80 mg tablet sig: one (1) tablet po three times a day for 7 days. discharge disposition: extended care facility: for the aged - acute rehab discharge diagnosis: coronary artery disease & aortic stenosis s/p coronary artery bypass graft x 3/aortic valve replacement/aortic root enlargement hypertension hypercholesterolemia osteoarthritis asthma chronic pedal edema d/t venous insufficiency right breast cancer s/p lumpectomy discharge condition: good discharge instructions: make take shower. wash incisions with warm water and gentle soap. gently pat dry. do not apply lotions, creams, ointments, or powders to incisions. do not drive for 1 month. do not lift greater than 10 pounds for 2 months. if you notice erythema or drainage from sternal incision, or fever greater than 101, please call clinic. followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks wnd check on 2 on between 11am and 4pm. 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 endarterectomy, aorta procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified aortic valve disorders personal history of malignant neoplasm of breast hip joint replacement venous (peripheral) insufficiency, unspecified 

Answer: The patient is high likely exposed to