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: lipitor / compazine attending: chief complaint: progressive doe/exertional angina major surgical or invasive procedure: avr (# 23 mosaic procine valve) history of present illness: 68 yo female with increasing chest tightness and doe for one year. nuclear stress showed ef 45%, small anteroseptal defect. cath revealed severe as. referred for avr. past medical history: ? mi elev. lipids asthma rhd amaurosis fugax tia neurogenic bladder irritable bowel syndrome psh: lap chole cerv. spine fusion right shoulder . bil. carpal tunnel surgs bil trigger finger repairs appy social history: works with compuer systems no tobacco lives with a friend no etoh family history: no premature cad physical exam: alert and oriented x3 nad skin/heent unremarkable neck supple; 2+ bil. ? carotid bruits vs. transmitted murmur ctab rrr with se murmur soft, nt, nd, +bs warm, well-perfused, no edema mild ble varicosities neuro grossly intact 2+ bil. fem/dps/ pts/ radials pertinent results: 05:50am blood wbc-7.6 rbc-3.27* hgb-9.7* hct-28.3* mcv-87 mch-29.6 mchc-34.2 rdw-15.5 plt ct-167# 05:50am blood plt ct-167# 05:50am blood urean-21* creat-0.9 k-3.7 cardiology report echo study date of patient/test information: indication: intraoperative tee for avr status: inpatient date/time: at 08:57 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw2-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. r. measurements: left atrium - four chamber length: 4.8 cm (nl <= 5.2 cm) left ventricle - septal wall thickness: *1.2 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.4 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 50% (nl >=55%) aorta - ascending: 3.0 cm (nl <= 3.4 cm) aorta - descending thoracic: 2.1 cm (nl <= 2.5 cm) aortic valve - peak gradient: 60 mm hg aortic valve - lvot diam: 2.1 cm aortic valve - valve area: *0.7 cm2 (nl >= 3.0 cm2) interpretation: findings: right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. lipomatous hypertrophy of the interatrial septum. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. mild symmetric lvh with normal cavity size. low normal lvef. right ventricle: normal rv chamber size and free wall motion. aorta: focal calcifications in aortic root. normal ascending aorta diameter. simple atheroma in ascending aorta. focal calcifications in ascending aorta. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. focal calcifications in descending aorta. aortic valve: severely thickened/deformed aortic valve leaflets. severe as (aova <0.8cm2). mild to moderate (+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. 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. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions: pre-cpb no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is low normal (lvef 50%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post-cpb normal biventricular systolic function. bioprosthesis in the aortic position appears well seated. leaflets are only very poorly seen and can not be commented on. there is trace valvular aortic regurgitation. can not completely rule out a small perivalvular regugitant jet. the peak gradient across the valve ranged from 25 to 37 mm hg. the mean gradient was about 18 mm hg. effective valve area was in the range of 1.2 to 1.5 cm2. thoracic aorta appears intact. electronically signed by , md on 14:22. physician: () radiology preliminary report chest (pa & lat) 8:58 am chest (pa & lat) reason: r/o effusion medical condition: 68 year old woman with s/p cabg reason for this examination: r/o effusion indication: 68-year-old woman status post cabg. rule out effusion. comparison: . findings: the cardiomediastinal silhouette is unchanged. sternotomy wires are stable. the lungs are clear. there is no pneumothorax. minimal left- sided pleural effusion. the pulmonary vasculature is normal. the osseous structures are unchanged. impression: minimal left-sided pleural effusion. dr. dr. dr. brief hospital course: admitted and underwent avr with dr. . transferred to the cvicu in stable condition on neosynephrine and propofol drips. extubated that evening and transferred to the floor on pod #2 to begin increasing her activity level. pacing wires and chest tubes removed without incident. made good progress and cleared for discharge to home with services on pod #5. pt. is to make all follow appts. as per discharge instructions. medications on admission: advair one puff celebrex 200 mg daily claritin 10 mg daily crestor 10 mg daily flonase one spray each nostril daily prozac 30 mg daily folic acid 1 mg dialy metoprolol 25 mg daily prilosec 20 mg daily plavix 75 mg daily remicaide 100 mg infusion every 7 weeks lyrica 100 mg tid provigil 200 mg xalatan 0.005% one drop ou qhs astelin 137 mcg metamucil one cap daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. 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* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. lyrica 200 mg capsule sig: one (1) capsule po bid (). disp:*60 capsule(s)* refills:*0* 6. prednisone 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*20 tablet(s)* refills:*0* 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po bid (2 times a day) for 7 days. disp:*40 capsule, sustained release(s)* refills:*0* 9. fluoxetine 20 mg tablet sig: 1.5 tablets po once a day. disp:*45 tablet(s)* refills:*0* 10. crestor 10 mg tablet sig: one (1) tablet po once a day. 11. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* discharge disposition: home with service facility: tba discharge diagnosis: as rhd asthma ibd elev. lipids divericulitis/diverticulosis neurogenic bladder ? old mi discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. mo lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: with dr. in weeks with dr. in 4 weeks with dr. in 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve diagnoses: intermediate coronary syndrome asthma, unspecified type, unspecified aortic valve disorders personal history of other diseases of circulatory system family history of ischemic heart disease rheumatoid arthritis unspecified hereditary and idiopathic peripheral neuropathy irritable bowel syndrome 

Answer: The patient is high likely exposed to