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: penicillins / ampicillin / sulfa (sulfonamides) / solu-medrol attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - avr (19mm ce magna pericardial valve) history of present illness: 72 y/o woman with h/o as followed by serial echocardiograms. an echo from showed severe as with and of 0.4cm2. she has thus been referred to dr. for elective surgical management. past medical history: hyperlipidemia as diverticulitis sciatica gerd social history: retired. lives with husband. smoked. drinks 1 glass of wine daily. family history: father with mi in early 60's and died at age 65. mother died at age 78 physical exam: vitals: bp 127-139/60-70, hr 74, rr 20 general: well developed female in no acute distress. flat after cath heent: oropharynx benign, right cheek bandage s/p biopsy. glasses. teeth in good repair. neck: supple, no jvd, transmitted murmur to carotid noted heart: regular rate, normal s1s2, 3/6 systolic ejection murmur lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities, extensive spider veins pulses: 2+ distally neuro: nonfocal pertinent results: echo pre-bypass: the left atrium is normal in size. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is moderate thickening of the mitral valve chordae. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. there is no pericardial effusion. cxr in comparison with the study of , the right and left chest tubes have been removed. no evidence of pneumothorax. all the other surgical tubes have also been removed. dense streak of apparent atelectasis is again seen at the right base with definitive streaks of atelectasis on the left. 07:50am blood wbc-6.3 rbc-2.86* hgb-8.3* hct-25.0* mcv-87 mch-29.0 mchc-33.3 rdw-13.5 plt ct-193 07:50am blood plt ct-193 04:11pm blood pt-14.1* ptt-49.7* inr(pt)-1.2* 07:50am blood glucose-97 urean-18 creat-0.7 na-138 k-4.8 cl-100 hco3-32 angap-11 brief hospital course: mrs. was admitted to the on for elective surgical management of her aortic valve disease. she was taken directly to the operating room where she underwent an aortic valve replacement using a 19mm pericardial valve. please see separate dictated operative note. postoperatively she was taken to the intensive care unit for monitoring. she developed atriall fibrillation for which amiodarone was started. she subsequently converted back into a normal sinus rhythm. on postoperative day one, she awoke neurologically intact and was extubated. she was then transferred to the step down unit for further recovery. mrs. was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. she complianed of nausea which resolved after having a bowel movement and she was ready for discharge home on pod #5. medications on admission: protonix 40mg qd lipitor 10mg qd aspirin 81mg qd fish oil mvi discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 2. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 5 days. disp:*10 packet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. 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:*0* 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: gentiva discharge diagnosis: as s/p avr (19mm ce magna pericardial valve) hyperlipidemia diverticulitis sciatica gerd discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. please contact surgeon with any wound issues ( 2) report any fever greater then 100.5 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lifting more then 10 pounds for 10 weeks. 5) no driving for 1 month. 6) you may shower and wash incision with soap and water. no lotions, creams or powders to incision until it has healed. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. in weeks. ( follow-up with dr. . in weeks. please call all providers for appointments. procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: esophageal reflux cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to