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: keflex / adhesive tape attending: chief complaint: critical aortic stenosis major surgical or invasive procedure: corevalve placement history of present illness: 86 yo f with cad s/p cabg in (lima to lad, svg to d2, svg to drca and svg to om), interstitial pulmonary fibrosis, dm, htn, hld, with progressive dyspnea on exertion, admitted for corevalve. . briefly, patient has had longstanding aortic stenosis. cardiac catheterizaiton at in which revealed a 90% distal lm stenosis, 80% mlad stenosis followed by t.o, 40% d1 stenosis, 90% ostial rca stenosis and 60% pda stenosis. the svg's to d2 and svg to the drca were patent. the svg to om occluded at ostium, lima to lad patent, distal lad diffusely diseased. on , she underwent stenting of the lm with a 3.5 x 8mm bx velocity stent. . per patient, since , she has been getting progressive short of breath on exertion. she used to be able to perform all adls as well as work around the house. now, she gets very short of breath with minimal exertion, and can only walk from her bed to the recliner. her symptoms are of chest tightness. the dyspnea usually improved after sitting down for a while. she reports one episode of syncope in where she suddenly loss consciousness. it is unclear whether that was also associated with hypoglycemia. . on arrival to the floor, patient was alert and oriented, mildly short of breath when speaking, but other comfortable. vitals were hr 60, bp 125/71, rr 38, o2 sat 94% ra. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, paroxysmal nocturnal dyspnea, orthopnea, palpitations. past medical history: 1. cardiac risk factors: diabetes, dyslipidemia, hypertension 2. cardiac history: -cabg: cabg in at nedh with a lima to lad, svg to d2, svg to drca and svg to om (known occluded). -percutaneous coronary interventions: in , cath showed 90% distal lm stenosis which was stented with a 3.5 x 8mm bx velocity stent. also showed 80% mlad stenosis followed by t.o, 40% d1 stenosis, 90% ostial rca stenosis and 60% pda stenosis. the svg's to d2 and svg to the drca were patent. the svg to om occluded at ostium, lima to lad patent, distal lad diffusely diseased. -pacing/icd: 3. other past medical history: - fractured rib on left from last month from coughing excessively r/t a sinus infection - diabetes type ii, on oral agents - complete hysterectomy and oopherectomy for ovarian ca. no recurrence noted - pulmonary fibrosis - marked restrictive ventilatory defect on pfts and severe fibrosis and low fvc on chest ct. social history: she is a widow. she is retired currently lives with daughter. she does not follow a diet and does not exercise regularly. -tobacco history: never smoked -etoh: none -illicit drugs: denied family history: there is a family history of hypertension, diabetes, and heart disease but not stroke. her mother died at 29 of gall bladder infection and her father died at 69 of stomach cancer. no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. physical exam: physical exam on admission: vs: t=97.3 bp=125-132/71 hr=60 rr=38 o2 sat=94% ra general: elderly woman, lying in bed, mildly short of breath when speaking heent: perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6 cm. cardiac: s1, s2 obscured, grade iv/vi crescendo-decrescendo systolic ejection murmur radiating to the carotics lungs: mild shortness of breath. moving air appropriately, dry crackles diffusely abdomen: +bs, soft, multiple scars well healed. non-tender, non-distended. extremities: 1+ edema to the ankles b/l, mild edema in the hands, r>l skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 12:58am blood wbc-8.3 rbc-3.56* hgb-11.3* hct-33.7* mcv-95 mch-31.7 mchc-33.5 rdw-14.6 plt ct-342 03:08am blood wbc-7.6 rbc-3.48* hgb-10.8* hct-32.5* mcv-93 mch-31.0 mchc-33.2 rdw-14.6 plt ct-355 12:58am blood glucose-177* urean-40* creat-0.9 na-142 k-3.9 cl-105 hco3-30 angap-11 03:08am blood glucose-182* urean-45* creat-1.0 na-138 k-4.3 cl-101 hco3-32 angap-9 03:09am blood alt-25 ast-81* ld(ldh)-328* ck(cpk)-210* alkphos-116* amylase-22 totbili-3.3* 12:58am blood calcium-9.9 mg-1.7 head ct impression: 1. no evidence of cerebral artery occlusion. 2. atherosclerotic disease as mentioned above. 3. lung parenchymal opacities better appreciated on recent lung imaging. mr head findings: extremely limited study. the ventricles and sulci are prominent, suggestive of age-related volume loss. no other findings can be made from this nondiagnostic study. the patient was immediately referred to ct angiogram. echo: conclusions the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. there is abnormal septal motion/position. an aortic corevalve prosthesis is present. the aortic valve prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. trace aortic regurgitation and a very small paravalvular leak are seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: well-seated, normally functioning aortic corevalve prosthesis with trace aortic regurgitation and a very small paravalvular leak. normal left ventricular cavity size and wall thickness with preserved global and regional biventricular systolic function. mild mitral regurgitation. mild pulmonary artery systolic hypertension. compared with the prior study (images reviewed) of , the findings are similar. previously, the very small aortic paravalvular leak was not commented upon, but appears to have been present. electronically signed by , md, interpreting physician 15:48 05:30am blood wbc-9.8 rbc-3.64* hgb-11.6* hct-34.0* mcv-93 mch-31.9 mchc-34.1 rdw-14.7 plt ct-367 05:30am blood glucose-142* urean-33* creat-0.9 na-142 k-4.2 cl-104 hco3-29 angap-13 brief hospital course: medicine course: 86 yo f with cad s/p cabg in (lima to lad, svg to d2, svg to drca and svg to om), interstitial pulmonary fibrosis, dm, htn, hld, with progressive dyspnea on exertion, admitted for corevalve palcement. . # aortic stenosis: patient has critical aortic stenosis with most recent valve area measurement of 0.7 cm2. she is currently showing symptoms of dyspnea on minimal exertion. patient deemed "extreme risk" for surgical aortic valve replacement. patient admitted for corevalve placement. . # interstitial pulmonary fibrosis: new diagnosis for patient, but likely long-standing. dyspnea on exertion is at least particially due to pulmonary disease. recent ct chest showed severe diffuse pulmonary fibrosis and marked restrictive ventilatory defect on pfts. did not require oxygen at baseline. patient continued on home albuterol inhaler and advair. . # coronary artery disease: longstanding, s/p cabg in (lima to lad, svg to d2, svg to drca and svg to om), which on recent cardiac catheterization showed three vessel disease. patient currently asymptomatic. . # diabetes: patient only on glyburide at home, which was held. patient placed on humalog sliding scale. cardiac surgery course: the patient was taken to the operating room on where she underwent corevalve placement with dr. and dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for observation and recovery. shortly following arrival in cvicu, the patient developed cardiac arrest requiring re-intubation and resuscitation. echo revealed free air in the right atrium and ventricles. she also developed rapid atrial fibrillation and eventually converted to sr with electrical and chemical cardioversion. transvenous wire was placed on at the bedside by dr. for second degree heart block. the patient developed a fever. sputum cultures would grow pseudomonas. the patient was treated with appropriate antibiotics. when the patient was weaned from sedation, she was unable to move the left upper extremity. neurology was consulted for evaluation and she was confirmed to have a cva. eventually extubated on . swallowing eval done and she had confusion. supportive care given while she remained in the cvicu for monitoring. now alert and oriented and following commands. aphasia resolved and lue remains as the only deficit. transferred to the floor on pod # 18. cleared for discharge to rehab hospital in on pod #19. follow up appts were advised. medications on admission: albuterol sulfate - 90 mcg hfa aerosol inhaler - two puffs inhaled 4 times daily fluticasone-salmeterol - 250 mcg-50 mcg/dose disk with device - twoq puffs inhaled twice daily glyburide - (prescribed by other provider) - 2.5 mg tablet - 1 tablet(s) by mouth twice a day isosorbide mononitrate - (prescribed by other provider) - 30 mg tablet extended release 24 hr - 1 tablet(s) by mouth daily levothyroxine - (prescribed by other provider) - 100 mcg tablet - 1 tablet(s) by mouth daily metoprolol tartrate - (prescribed by other provider) - 50 mg tablet - 1 tablet(s) by mouth three times daily simvastatin - (prescribed by other provider) - 80 mg tablet - 1 tablet(s) by mouth daily at hs . medications - otc aspirin - (prescribed by other provider) - 325 mg tablet - 1 tablet(s) by mouth daily calcium carbonate - (prescribed by other provider) - 600 mg (1,500 mg) tablet - one tablet(s) by mouth daily ergocalciferol (vitamin d2) - 2,000 unit capsule - one capsule(s) by mouth daily glucosamine-chondroit-vit c-mn - (prescribed by other provider) - 500 mg-400 mg capsule - two capsule(s) by mouth daily multivitamin-minerals-lutein - (prescribed by other provider) - tablet - one tablet(s) by mouth daily discharge disposition: extended care facility: hospital - discharge diagnosis: primary: critical aortic stenosis s/p corevalve avr diabetes mellitus coronary artery disease cva post-op respiratory failure . secondary: interstitial pulmonary fibrosis discharge condition: mental status: clear and coherent level of consciousness: alert and oriented activity status: max assist- pivots briefly lue- moves thumb only discharge instructions: please shower daily including washing puncture sites in groins with mild soap, no baths or swimming for 1 week until groin sites are healed. please no lotions, cream, powder, or ointments to puncture sites in your groins 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 one month, will be discussed at follow up appointment no lifting or pulling more than 10 pounds for 1 week, and then continue to take it easy for 1 month please call with any questions or concerns **please call integrated aortic valve clinic in cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: dr. office (will arrange for follow up) dr. friday , 1:00 pm 2a dr. ( neurology) thursday @ 11:30 am 8 (neuro) please call to schedule appointments with your primary care dr. , in 3 weeks **please call dr. with any questions or concerns. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization enteral infusion of concentrated nutritional substances open and other replacement of aortic valve insertion of temporary transvenous pacemaker system atrial cardioversion closed [endoscopic] biopsy of bronchus percutaneous balloon valvuloplasty diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified toxic encephalopathy unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified atrial fibrillation acute on chronic diastolic heart failure aortic valve disorders percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia pneumonia due to pseudomonas cardiac arrest postinflammatory pulmonary fibrosis surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation examination of participant in clinical trial iatrogenic cerebrovascular infarction or hemorrhage other second degree atrioventricular block flaccid hemiplegia and hemiparesis affecting nondominant side 

Answer: The patient is high likely exposed to