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: ibuprofen attending: chief complaint: chest discomfort major surgical or invasive procedure: avr (tissue) history of present illness: 69 yo f complained of chest tightness with history of as. recent cath showed severe as, mild cad and 2+ mr. past medical history: htn, dm-2, af, hypothyroid, pancreatitis social history: works as cashier occ/rare etoh denies tobacco family history: nc physical exam: admission: vs hr 76 rr 12 bp 120/60 nad lungs ctab heart rrr, 4/6 sem abdomen benign extrem warm, no edema superficial bilateral varicosities discharge vs hr 80 rr 18 bp 156/71 nad lungs ctab heart rrr abdomen benign extremities warm, no edema pertinent results: 05:30am blood wbc-10.5 rbc-3.46* hgb-10.4* hct-29.6* mcv-86 mch-29.9 mchc-35.0 rdw-14.4 plt ct-261 05:30am blood plt ct-261 05:30am blood glucose-132* urean-17 creat-0.6 na-135 k-4.0 cl-100 hco3-24 angap-15 05:30am blood mg-2.2 brief hospital course: she was a direct admission to the operating room on where she underwent an avr. please see or report for details. in summary she had avr with #19 epic porcine valve, her bypass time was 67 minutes with a crossclamp of 52 minutes. she tolerated the operation well and was transferred to the icu in stable condition. she did well in the immediate post-op period, her anesthesia was reversed, she was weaned from the ventilator and was extubated. on pod #1 she remained hemodynamically stable, her chest tubes were removed and she was transferred to the floor. over the next several days she had an uneventful post-operative course. her activity was advanced, her medications where titrated and her epicardial wires removed. on pod 4 she was ready to discharge home with visiting nurses. medications on admission: digoxin 0.25', crestor 20', hyzaar 100/12.5, paroxetine 20', levothyroxine 50', glipizide 2', asa discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while taking percocet for constipation. disp:*60 capsule(s)* refills:*0* 2. 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* 3. 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* 4. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. glimepiride 2 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. losartan-hydrochlorothiazide 100-12.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: health care discharge diagnosis: as s/p avr htn, dm-2, af, hypothyroid, pancreatitis, ^chol, appy, rt rotator cuff repair, tonsillectomy 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. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: clinic in 2 weeks dr. 2 weeks dr. 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atrial fibrillation other and unspecified angina pectoris mitral valve insufficiency and aortic valve stenosis 

Answer: The patient is high likely exposed to