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: no known allergies / adverse drug reactions attending: chief complaint: mitral prolapse major surgical or invasive procedure: minimally invasive mitral valve replacement (31mm st. mechanical) history of present illness: this 21 year old female has known mitral prolapse. over the past year she has had worsening dyspnea with exertion,palpitation and fatigue. echocardiograms revealed worsening regurgitation. she was referred for surgery and was admitted for same now. past medical history: mitral valve prolapse(bileaflet) with severe mr - right choroidal fissure cyst - right maxillary sinus retention cyst - possible seizure disorder per patient(last seizure ) - migraine ha - childhood asthma social history: denies premature coronary artery disease family history: race: hispanic last dental exam: 1 month ago lives with: brother and 2 year old son in , ma occupation: unemployed cigarettes: denies etoh: denies physical exam: vitals: pending, please refer to pat sheet height: 66" weight: 122# general:wdwn female in no acute distress skin: dry intact heent: perrla eomi anicteric sclera, op unremarkable neck: supple full rom no jvd appreciated chest: lungs clear bilaterally heart: rrr irregular murmur grade 3-4/6 radiates to carotids abdomen: soft non-distended non-tender bowel sounds + no hsm extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact,nonfocal exam, mae strengths pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 1+ left:1+ radial right: 2+ left:2+ carotid bruit: murmur radiates to carotids pertinent results: 06:00am blood wbc-5.2 rbc-3.55* hgb-9.5* hct-28.8* mcv-81* mch-26.7* mchc-33.0 rdw-15.8* plt ct-284 01:00pm blood wbc-14.3*# rbc-2.96*# hgb-7.5*# hct-23.5*# mcv-79* mch-25.2* mchc-31.7 rdw-15.5 plt ct-147* 06:00am blood pt-26.8* ptt-121.4* inr(pt)-2.6* 09:54am blood pt-16.6* ptt-55.8* inr(pt)-1.6* 05:20am blood pt-16.0* ptt-35.7 inr(pt)-1.5* 05:25am blood pt-18.9* ptt-34.5 inr(pt)-1.8* 05:58am blood pt-31.2* ptt-35.4 inr(pt)-3.0* 06:00am blood glucose-95 urean-11 creat-0.7 na-136 k-3.9 cl-104 hco3-24 angap-12 01:59pm blood urean-9 creat-0.5 na-145 k-3.5 cl-119* hco3-20* angap-10 echocardiography report , (complete) done at 1:06:55 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 21 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: min inv mvr icd-9 codes: 786.05, 424.0 test information date/time: at 13:06 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2012aw1-: machine: us3 echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% to 60% >= 55% findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: moderate/severe mvp. moderate to severe (3+) mr. tricuspid valve: physiologic tr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. conclusions pre-cpb: the windows are of limited quality as the heart seems rotated, and the la seems distorted by the prolapsing mitral leaflets. no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. there is moderate/severe bileaflet leaflet mitral valve prolapse. moderate to severe (3+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is in sr, on no inotropes. there is a prosthetic mitral valve with no leak and no mr. as pre-bypass. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:01 brief hospital course: follwoing admission she was taken to the operating room on where she underwent mitral valve replacement with a 31mm st. mechanical prosthesis via right thorocotomy. she weaned from bypass easily. she transferred to the cvicu in stable condition weaned from the ventilator and extubated without diffuculty. she transferred to the floor, where cts and temporary wires were removed per protocols. anticoagulation for her mechanical valve was started and after a couple of days hepairn was initiated. pt has known psychosocial issues, she has continued to need a lot of attention and encouragement. she was seen by the social worker and was started on antidepressent for her depression. postoperatively she was tachycardic and occasionally hypotensive. tte was obtained on pod#7.... and beta blocker was stopped and restarted at lower dose. diuretic were dc'd early due to the concern for dehydration. she continued to make slow progress and at the time of discharge she was discharged to home with services and therapeutic inr. coumadin will be managed by the cardiac surgery service for one week then she will transition to the care of dr. . follow up appointments were given and precautions and instructions discussed. medications on admission: topamax, ferrous sulfate 325mg daily, sertraline 25mg daily, certavite mv daily discharge medications: 1. sertraline 50 mg tablet sig: 0.5 tablet po daily (daily). 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for headache/fever. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. topiramate 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. ibuprofen 400 mg tablet sig: two (2) tablet po every eight (8) hours as needed for pain for 2 weeks. disp:*42 tablet(s)* refills:*0* 8. coumadin 2.5 mg tablet sig: as directed tablet po once a day: inr 2.5-3.5, take as directed. disp:*100 tablet(s)* refills:*2* 9. outpatient work pt/inr on ** fax call results to ** 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 11. atenolol 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 12. zantac 150 mg tablet sig: one (1) tablet po twice a day for 2 weeks: while on motrin. disp:*28 tablet(s)* refills:*0* 13. multivitamin capsule sig: one (1) capsule po once a day for 1 months. disp:*30 capsule(s)* refills:*0* 14. ferrous sulfate 324 mg (65 mg iron) tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day for 1 months. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: mitral valve prolapse s/p mitral valve replacement right choroidal fissure cyst right maxillary sinus retention cyst possible seizure disorder per patient migraines discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - 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 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 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: you are scheduled for the following appointments: surgeon:dr.() on at 1:30pm cardiologist:dr. on at 11am wound check in office on at 11:15am please call to schedule appointments with: primary care: dr. (in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication mechanical mitral valve goal inr 2.5-3.5 first draw day after discharge her coumadin is to be managed by the cardiac surgery service @ for one week call results to and then she can transition to the care of her pcp, to phone to att: at dr. office procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of mitral valve diagnoses: other iatrogenic hypotension anemia, unspecified mitral valve disorders congestive heart failure, unspecified depressive disorder, not elsewhere classified iatrogenic pneumothorax epilepsy, unspecified, without mention of intractable epilepsy surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation dehydration tachycardia, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to