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: history of present illness: the patient is a postoperative admission, admitted directly to the operating room for an aortic valve and aortic root replacement. this is a 69 year old woman with a known dilated aortic root to 4.9 centimeters and critical aortic stenosis. she had a recent admission with planned surgery which was delayed secondary to a white blood cell count of 3.0. she had a hematology evaluation and she was cleared for surgery. readmitted on , for scheduled surgery again and was found to have a left cellulitis secondary to a pneumovax vaccine that she had several days prior to admission. the case was again postponed and she was admitted on the day of surgery for a scheduled aortic valve replacement along with a root replacement. she had a cardiac catheterization done , that showed normal coronaries and aortic root of 4.9 centimeters, one plus mitral regurgitation and one plus tricuspid regurgitation, ejection fraction of 65 percent with critical aortic stenosis and the aortic valve area 0.5 centimeter square and a gradient of 113 with one plus aortic regurgitation. past medical history: aortic stenosis. hypertension. past surgical history: partial oophorectomy. bilateral vein stripping. allergies: she states an allergy to penicillin which causes a rash. medications on admission: 1. lisinopril 40 mg daily. 2. hydrochlorothiazide 25 mg daily. 3. multivitamin. 4. benadryl. 5. p.r.n. albuterol. social history: she lives with husband in , . she works part-time as a bank teller. she denies tobacco use. alcohol use two glasses of wine per day. family history: significant only for an aunt who had coronary artery disease. physical examination: height five feet seven inches, weight 160 pounds. general sitting comfortably in chair in no acute distress. neurologically, alert and oriented times three, moves all extremities, follows commands, nonfocal examination. respiratory clear to auscultation bilaterally. cardiovascular regular rate and rhythm, s1 and s2, with a iii/vi holosystolic murmur. the abdomen is soft, nontender, nondistended with normoactive bowel sounds. extremities are warm and well perfused with no edema. pulses - radial two plus on the right and one plus on the left. dorsalis pedis two plus bilaterally. posterior tibial two plus bilaterally. hospital course: as stated, the patient was admitted directly to the operating room for a planned aortic valve replacement, aortic root repair. please see the operating room report for full details. in summary, she had an aortic valve replacement with a number 27 millimeter - pericardial valve and replacement of the ascending and hemi-arch aorta with 28 millimeter gelweave graft. her bypass time was 120 minutes with a cross clamp time of 76 minutes and a circulatory arrest of 9 minutes. she tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was av paced at 80 beats per minute with a mean arterial pressure of 65 and a cvp of 6. she had neo-synephrine at 1.0 mcg/kg/minute, propofol at 10 mcg/kg/minute and amiodarone at 1 mg per minute. the patient did well in the immediate postoperative period. her anesthesia was reversed. she was weaned from the ventilator and successfully extubated. on postoperative day number one, the patient continued to be hemodynamically stable requiring only neo-synephrine to maintain an adequate blood pressure. she also continued on her amiodarone drip which was initially started for ventricular tachycardia in the operating room of which she had no further episodes during her immediate postoperative period, a postoperative day number one. the patient remained in the cardiothoracic intensive care unit for close hemodynamic monitoring. on postoperative day number two, the patient again was doing well. her neo- synephrine infusion was weaned. her swan-ganz catheter was removed and she was begun on diuretics. additionally, the patient's amiodarone drip was converted to oral dosing. she remained in the intensive care unit for continued requirement of neo-synephrine to maintain an adequate blood pressure. by postoperative day number three, the patient had weaned off her neo-synephrine drip and was transferred from the cardiothoracic intensive care unit to two for continued postoperative care and cardiac rehabilitation. over the next several days, the patient's activity level was increased with the assistance of the nursing staff and the physical therapy staff. it was noted on postoperative day number five that the patient did have an intermittent sternal click accompanied by a complaint of pain, however, the wound looked clean with no erythema and no drainage. however, by the following day, the patient did begin to drain serosanguineous fluid from the base of her sternal incision site. over the next several days, the patient continued to have sternal drainage. she remained hemodynamically stable without a white blood count during this entire period, however, because of the continued drainage on , the patient returned to the operating room where she underwent sternal debridement and rewiring. cultures from that debridement came back negative. she tolerated the operation well and was transferred again from the operating room to the cardiothoracic intensive care unit. she remained hemodynamically stable and extubated immediately after surgery. she remained in the intensive care unit only on the day of surgery and then was transferred back to the floor the following morning for continued postoperative care. on postoperative day number two from her sternal rewiring, her chest tubes were put to water seal following which the patient was noted to have a 20 percent right-sided pneumothorax. the tubes were again returned to suction with the lung fully reexpanding. on the following morning, the patient's chest tubes were again placed to water seal and a follow-up chest x-ray showed minimal apical pneumothorax. the tubes were left on water seal for 24 hours. a repeat chest x-ray showed no change in the apical pneumothorax and on postoperative day number four from the rewiring, her chest tubes were removed. on postoperative day number five from the rewiring, it was deemed that the patient was stable and ready to be transferred to rehabilitation for continuing care. at the time of this dictation, the patient's physical examination is as follows: temperature 97.3, heart rate 87, sinus rhythm, blood pressure 114/69, respiratory rate 20, oxygen saturation 95 percent in room air. laboratory data reveals white blood cell count 8.3, hematocrit 32.8. sodium 137, potassium 3.9, chloride 99, co2 29, blood urea nitrogen 9, creatinine 0.8. glucose 98. on physical examination, the patient is alert and oriented times three, moves all extremities, follows commands. pulmonary clear to auscultation bilaterally. cardiac regular rate and rhythm, s1 and s2 with no murmurs. the sternum is stable and incision with staples. no erythema or drainage. the abdomen is soft, nontender, nondistended, with normoactive bowel sounds. extremities are warm and well perfused with no edema. follow- up chest x-ray after chest tubes were removed shows a small residual right apical pneumothorax unchanged from the two prior days, both before and after chest tubes were removed. condition on discharge: good. medications on discharge: 1. percocet 5/325 one to two tablets q4-6hours p.r.n. 2. acetaminophen 325/650 q4hours p.r.n. 3. aspirin 81 mg p.o. daily. 4. colace 100 mg p.o. twice a day. 5. metoprolol 100 mg twice a day. 6. multivitamin one tablet daily. 7. zinc sulfate 220 mg daily. 8. ascorbic acid 500 mg twice a day. 9. niferex 150 mg daily. 10. thiamine 100 mg daily. 11. potassium chloride 40 meq daily for two weeks. 12. lasix 40 mg daily for two weeks and then 20 mg daily times one week. discharge status: the patient is to be discharged to . fop: she is to have follow-up with dr. in two to three weeks and follow-up with dr. in four weeks. discharge diagnoses: aortic stenosis, status post aortic valve replacement with a number 27 - pericardial valve. aortic root enlargement, status post replacement of the ascending and hemi-arch aorta with a number 28 gelweave graft. status post sternal rewiring. hypertension. status post oophorectomy. , m.d. procedure: insertion of intercostal catheter for drainage extracorporeal circulation auxiliary to open heart surgery other repair of chest wall open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] pulmonary artery wedge monitoring diagnoses: acidosis coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled disruption of internal operation (surgical) wound aortocoronary bypass status aortic valve disorders paroxysmal ventricular tachycardia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure iatrogenic pneumothorax cellulitis and abscess of upper arm and forearm ventricular fibrillation surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation thoracoabdominal aneurysm, without mention of rupture 

Answer: The patient is high likely exposed to