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: patient recorded as having no known allergies to drugs attending: chief complaint: increasing shortness of breath major surgical or invasive procedure: aortic valve replacement(21mm st. porcine) cardiac catheterization history of present illness: this is a year old female who presented with increasing shortness of breath with exertion. she has known severe aortic stenosis by echocardiogram. prior to aortic valve replacement surgery, she was admitted for cardiac catheterization. past medical history: aortic stenosis type ii diabetes mellitus depression history of pneumonia s/p cataract surgery social history: lives: alone in ct - staying with daughter currently occupation: retired teacher tobacco: none etoh: none illicit drugs: none family history: no premature coronary artery disease physical exam: on admission pulse: 81 resp: 16 o2 sat: 97 ra b/p right: 161/75 left: 157/69 height: 5'2" weight: 63.5 kg general: elderly female in no acute distress skin: dry areas under breast bilateral with minimal skin breakdown - history of problems, chest with moles : eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 systolic abdomen: soft non-distended non-tender bowel sounds + no palpable masses extremities: warm , right foot cooler than left edema: trace varicosities: multiple superficial bilat le neuro: grossly intact, nonfocal exam pulses: femoral right: cath site left: +2 dp right: +1 left: +1 radial right: +2 left: +2 carotid bruit right: trans murmur left: trans murmur pertinent results: wbc-7.2 rbc-3.85* hgb-10.9* hct-33.5* plt ct-243 pt-13.5* ptt-21.8* inr(pt)-1.2* glucose-187* urean-16 creat-1.0 na-138 k-4.3 cl-103 hco3-26 alt-10 ast-17 alkphos-82 amylase-72 totbili-0.4 %hba1c-7.4* cardiac catheterization: 1. selective coronary angiography in this right dominant system demonstrated no angiographically apparent coronary artery disease. the lmca, lad, lcx, and rca were all free of angiographically apparent flow-limiting coronary artery disease. there was a fistula seen from the proximal lad to the left pulmonary artery. 2. limited resting hemodynamics revealed moderate arterial systolic hypertension (sbp 163mmhg). intraop tee: pre-bypass: there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild (1+) 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 before cpb. post-bypass: normal biventricular systolic function. lvef 55%. intact thoracic aorta. there is an aortic bioprosthesis located in the native aortic position, well seated and functioning well with a residual mean gradient of 12mm of hg. there is no perivalvular leak. mild tr. 04:25am blood wbc-10.9 rbc-3.52* hgb-10.3* hct-31.1* mcv-88 mch-29.1 mchc-33.0 rdw-15.0 plt ct-171 09:44am blood pt-17.9* ptt-25.6 inr(pt)-1.6* 09:44am blood urean-29* creat-1.5* na-130* k-4.5 cl-96 brief hospital course: mrs. was admitted and underwent routine preadmission testing which included a cardiac catheterization. left heart catheterization revealed normal coronary arteries. the remainder of her preoperative workup was unremarkable and she was cleared for surgery. dr. performed aortic valve replacement surgery. see operative report for further details. after surgery, she was brought to the cvicu for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated without incident. on postoperative day one, she was noted to have an asymptomatic 15 beat run of ventricular tachycardia. electrolytes were repleted per protocol and beta blockade was resumed. all lines and drains were discontinued in a timely fashion. beta-blocker/statin/aspirin was intitiated. pod#3 ms. went into postoperative rapid atrial fibrillation. anticoagulation was initiated with coumadin. it was treated with amiodarone, increased dosage of b-blocker and she converted to nsr. pod#3 was transferred to the step down unit for further monitoring. physical therapy consulted for evaluation of strength and mobility. she continued to progress and on pod# 5 she was cleared by dr. for discharge to rehabilitation. all follow up appointments were advised. medications on admission: januvia 100 mg daily, glipizide 10 mg daily, metformin 500 mg , lipitor 10 mg daily discharge medications: 1. aspirin 81 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po daily (daily). 2. ranitidine hcl 150 mg sig: one (1) po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. metoprolol tartrate 25 mg sig: three (3) po tid (3 times a day). 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. 6. lasix 40 mg sig: one (1) po once a day for 10 days. 7. glipizide 5 mg sig: two (2) po bid (2 times a day). 8. metformin 500 mg sig: one (1) po bid (2 times a day). 9. acetaminophen 325 mg sig: two (2) po q4h (every 4 hours) as needed for pain/temp. 10. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 11. atorvastatin 10 mg sig: one (1) po daily (daily). 12. hydralazine 25 mg sig: one (1) po q6h (every 6 hours). 13. warfarin 1 mg sig: md once daily at 4 pm: inr goal 2-2.5 for afib. 14. warfarin 2 mg sig: one (1) po once (once) for 1 days. 15. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 16. amiodarone 200 mg sig: two (2) po bid (2 times a day): 400 mg twice daily x 7 days, then decrease to 200 mg twice daily x 7 days, then decrease to 200 mg once daily. 17. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). discharge disposition: extended care facility: health care center - discharge diagnosis: aortic stenosis, s/p avr type ii diabetes mellitus depression 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 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 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: dr. # appointment set up for at 1:15pm dr. or dr. in weeks, call for appt dr. in weeks, call for appt procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization open and other replacement of aortic valve with tissue graft diagnoses: anemia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders depressive disorder, not elsewhere classified paroxysmal ventricular tachycardia hypotension, unspecified accidents occurring in residential institution other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications affecting other specified body systems, not elsewhere classified, hypertension other aneurysm of heart 

Answer: The patient is high likely exposed to