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 / sulfa (sulfonamide antibiotics) / bee pollens / codeine / epinephrine / tetanus attending: chief complaint: syncope major surgical or invasive procedure: aortic valve replacement (25mm mosaic), ascending aorta-arch replacement (elephant trunk) history of present illness: is a 69 year old woman who was recently found to have aortic insufficiency and an ascending aortic aneurysm during a work-up for syncope past medical history: ascending aortic aneurysm aortic insufficiency recurrent syncope right lower lobe nodule right upper lobe subpleural plaques mild hypercholesterolemia s/p partial oophorectomy s/p ligal ligation s/p removal of sebaceous cyst on neck social history: ms. is a retired human resources manager. family history: her family history is non-contributory. physical exam: at the time of admission, ms. was noted to be in no acute distress, but was somewhat anxious. her skin was unremarkable. no jugular venous distension was found. her lungs were clear to ausculatation bilaterally. her heart was of regular rate and rhythm with a iv/vi diastolic murmur. his abdomen was soft, non-tender, and non-distended. her extremities were warm and well perfused with no edema. no varicosities were noted. pertinent results: 02:44am blood wbc-12.8* rbc-3.73* hgb-11.3* hct-32.0* mcv-86 mch-30.4 mchc-35.4* rdw-14.8 plt ct-186 02:44am blood plt ct-186 03:00am blood pt-15.2* ptt-34.0 inr(pt)-1.3* 02:44am blood glucose-71 urean-18 creat-0.7 na-135 k-3.8 cl-100 hco3-28 angap-11 03:00am blood alt-23 ast-47* ck(cpk)-329* alkphos-42 totbili-2.1* 07:00am blood wbc-12.1* rbc-4.03* hgb-12.3 hct-35.3* mcv-88 mch-30.5 mchc-34.7 rdw-14.3 plt ct-161 01:17pm blood urean-17 creat-0.8 k-4.8 echocardiography report , (complete) done at 11:18:36 am preliminary referring physician information , c. , status: inpatient dob: age (years): 69 f hgt (in): 63 bp (mm hg): 110/52 wgt (lb): 124 hr (bpm): 62 bsa (m2): 1.58 m2 indication: aortic aneurysm, intraoperative management icd-9 codes: 780.2 test information date/time: at 11:18 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 #: 2009aw2-: machine: 2 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.7 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.7 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.3 cm <= 5.6 cm left ventricle - systolic dimension: 5.1 cm left ventricle - fractional shortening: *-0.55 >= 0.29 left ventricle - ejection fraction: 65% >= 55% aorta - annulus: 2.0 cm <= 3.0 cm aorta - sinus level: 3.1 cm <= 3.6 cm aorta - sinotubular ridge: *3.1 cm <= 3.0 cm aorta - ascending: *5.5 cm <= 3.4 cm aorta - arch: *5.2 cm <= 3.0 cm aorta - descending thoracic: *3.5 cm <= 2.5 cm findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: normal lv wall thickness and cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. markedly dilated ascending aorta. markedly dilated aortic arch. moderately dilated descending aorta aortic valve: normal aortic valve leaflets (3). no as. moderate (2+) ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets. no tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. 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. results were conclusions pre-bypass: 1. no atrial septal defect or pfo is seen by 2d or color doppler although difficult to find ias due to rotation of the heart from the aortic aneurysm. 2. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the ascending aorta is markedly dilated the aortic arch is markedly dilated. the descending thoracic aorta is moderately dilated. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. moderate (2+) aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. 7. there is no pericardial effusion. 8. dr. was notified in person of the results during the surgery on at 1005. postbypass 1. patient is on nitroglycerin infusions 2. lv ef appears underfilled initially. after blood products the lv ef looks similar to prebypass 3. a tissue valve is noted in the aortic position. it is well seated and well functioning. no perivalvular leaks noted. peak gradient of 6 mmhg and mean gradient 2 mmhg. 4. graft material is noted in the ascending aorta and tube graft is seen in the descending aorta i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: ms. was brought to the operating room on and underwent a thoracic aortic aneurysm repair. this procedure was performed by dr. . she tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. she was extubated and weaned from her pressors by the following day. her chest tubes were removed. she was transferred to the surgical step down floor. beta blockade was increased as tolerated and she was gently diuresed. ace inhibitor was started for optimal control of blood pressure. the patient made excellent progress with physical therapy. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. she was discharged home with vna and appropriate follow up instructions. medications on admission: aspirin 81 mg daily fish oil daily multivitamin daily coq10 discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 3. captopril 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 1 weeks. disp:*7 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 7. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed). lozenge(s) 8. phenol 1.4 % aerosol, spray sig: one (1) spray mucous membrane q4h (every 4 hours) as needed. discharge disposition: home with service facility: home care discharge diagnosis: ascending aortic arch aneurysm, aortic insufficiency discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr (cardiac surgery) in 4 weeks () please call for appointment, have ct scan prior to this visit dr. (vascular surgeon) dr (pcp) in weeks () please call for appointment dr (cardiologist) in weeks please call for appointment wound check appointment 2 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart cardioplegia arterial catheterization open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels diagnoses: pure hypercholesterolemia unspecified pleural effusion thoracic aneurysm without mention of rupture aortic valve disorders abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to