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: no drug allergy information on file attending: chief complaint: taa from automobile accident 20 yrs ago major surgical or invasive procedure: taa repair with aortic stent graft, via right groin approach. past medical history: pmh: s/p svt ablation, s/p c-section, s/p appy s/p tubal ligation social history: pos moker pos drinker family history: non contributary physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness ext: rle - palp fem, , pt, dp lle - palp fem, , pt, dp pertinent results: wbc-12.1* rbc-3.74* hgb-11.4* hct-32.8* mcv-88 mch-30.4 mchc-34.7 rdw-13.6 plt ct-231 plt ct-231 glucose-104 urean-8 creat-0.7 na-141 k-4.0 cl-105 hco3-26 angap-14 alt-24 ast-20 alkphos-122* amylase-94 totbili-0.2 calcium-8.7 phos-3.6 mg-2.0 cardiology report echo study date of measurements: left ventricle - ejection fraction: 50% to 55% (nl >=55%) aorta - valve level: 2.1 cm (nl <= 3.6 cm) aorta - ascending: 2.6 cm (nl <= 3.4 cm) aorta - arch: 2.6 cm (nl <= 3.0 cm) interpretation: findings: left atrium: normal la size. no mass/thrombus in the laa. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. left ventricle: normal lv wall thicknesses and cavity size. normal lv wall thickness. normal lv cavity size. normal regional lv systolic function. right ventricle: normal rv chamber size and free wall motion. aorta: moderately dilated descending aorta aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. normal main pa. 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. no tee related complications. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient was under general anesthesia throughout the procedure. conclusions: the left atrium is normal in size. no mass/thrombus is seen in the left atrium or left atrial appendage. left ventricular wall thicknesses and cavity size are normal. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the descending thoracic aorta is moderately dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. there is a large aneurysmal sac at the level of the lsca, 4 x 4.5 cm with some compression of the lsca. the remaining aorta is of normal size, with mild atheromatous changes and no evidence for dissection. radiology final report chest (portable ap) 3:14 pm chest (portable ap) reason: check ett placemnet medical condition: 41 year old woman s/p taa stent graft reason for this examination: check ett placemnet reason for examination: evaluation of endotracheal tube placement. portable ap chest x-ray was reviewed and compared to the previous study from . the patient is status post aortic stent graft placement due to descending aorta aneurysm. the ett tube is inserted with its tip projecting 3.5 cm above the carina. the swan-ganz catheter is inserted through the right internal jugular vein with tip projecting over the area of right pulmonary vein. the nasogastric tube is also inserted with its tip projecting over the area of the stomach. the heart size is normal. there is no evidence of mediastinal enlargement. there is no evidence of pneumothorax or pleural fluid. lung fields are clear. impression: 1. normal position of endotracheal tube. the swan-ganz and the ng tube are in good position as well. 2. no evidence of pneumothorax, pleural fluid, or active cardiopulmonary process. cardiology report ecg study date of 1:50:00 pm normal sinus rhythm. rsr' pattern in lead v2. non-specific st-t wave abnormalities. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 75 156 90 392/420.57 77 63 58 brief hospital course: pta dmitted on pt underwetn a taa steent via right groin femoral cutdown approach. she tolerated the procedure well. there were no complications. extubated in the or. transfered to the pacu in stable condition. once recovered from anesthesia, pt transfered to the vicu in stable condition. pt c/o mild ha / non postural lytes replenished pt allowed oob pt had svt - ekg sent to ep / sinus tachycardia, pt to follow-up with dr her cardiologist in pt stable fpor dc she is taking po / ambulating / pos bm / medications on admission: mvi discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). discharge disposition: home discharge diagnosis: taa discharge condition: stable discharge instructions: discharge instructions following aortic surgery this information is designed as a guideline to assist you in a speedy recovery from your surgery. please follow these guidelines unless your physician has specifically instructed you otherwise. please call our office nurse if you have any questions. dial 911 if you have any medical emergency. activity: there are no specific restrictions on activity other than no lifting an object heavier than twenty-five (25) pounds for the first three (3) months. gradually increase your level of activity back to normal depending on how you feel. fatigue is normal, especially for the first month postoperative. please call us immediately for any of the following problems: severe and worsening abdominal pain . pain or swelling in one of your legs. increasing pain, redness or drainage related to your incision(s) . watch for signs and symptoms of infection. these are: a fever greater than 101 degrees, chills, increased redness, or pus draining from the incision site. if you experience any of these or bleeding at the incision site, call the doctor. exercise: limit strenuous activity for 8 weeks. no driving untill cleared by surgeon. no heavy lifting greater than 20 pounds for 8 weeks. avoid excessive bending at the hips and stooping for 4 weeks. bathing/showering: you may shower immediately if the incision is dry upon coming home. no baths until sutures / staples are removed. dissolving sutures may have been used. in either case, you can wash your incision gently with soap and water. wound care: suture / staples may be removed before discharge. if they are not, an appointment will be made for you to return for staple removal. when the sutures / staples are removed the doctor may or may not place pieces of tape called steri-strips over the incision. these will stay on about a week and you may shower with them on. if these do not fall off after 10 days, you may peel them off with warm water and soap in the shower. avoid taking a tub bath, swimming, or soaking in a hot tub for two weeks after surgery. medications: you may resume taking medication you were on prior to your surgery unless specifically instructed otherwise by your physician will be given a new prescription for pain medication, which should be taken every three (3) to four (4) hours only if necessary. remember that narcotic pain meds can be constipating and you should increase the fluid and bulk foods in your diet. (check with your physician if you have fluid restrictions.) if you feel that you are constipated, do not strain at the toilet. you may use over the counter metamucil or milk of magnesia. appetite suppression may occur; this will improve with time. eat small balanced meals throughout the day. cautions: no smoking! we know you've heard this before, but it really is an important step to your recovery. smoking causes narrowing of your blood vessels which in turn decreases circulation. if you smoke you will need to stop as soon as possible. ask your nurse or doctor for information on smoking cessation. avoid heavy lifting (over 20 pounds) for 8 weeks after surgery. no strenuous activity for 4-6 weeks after surgery. diet: there are no special restrictions on your diet postoperatively. poor appetite is expected for several weeks and small, frequent meals may be preferred. for people with vascular problems we would recommend a cholesterol lowering diet: follow a diet low in total fat and low in saturated fat and in cholesterol to improve lipid profile in your blood. additionally, some people see a reduction in serum cholesterol by reducing dietary cholesterol. since a reduction in dietary cholesterol is not harmful, we suggest that most people reduce dietary fat, saturated fat and cholesterol to decrease total cholesterol and ldl (low density lipoprotein-the bad cholesterol). exercise will increase your hdl (high density lipoprotein-the good cholesterol) and with your doctor's permission, is typically recommended. you may be self-referred or get a referral from your doctor. if you are overweight, you need to think about starting a weight management program. your health and its improvement depend on it. we know that making changes in your lifestyle will not be easy, and it will require a whole new set of habits and a new attitude. if interested you can may be self-referred or can get a referral from your doctor. if you have diabetes and would like additional guidance, you may request a referral from your doctor. follow-up appointment: be sure to keep your medical appointments. the key to your improving health will be to keep a tight reign on any of the chronic medical conditions that you have. things like high blood pressure, diabetes, and high cholesterol are major villains to the blood vessels. don't let them go untreated! please call the office on the first working day after your discharge from the hospital to schedule a follow-up visit. this should be scheduled on the calendar for seven to fourteen days after discharge. normal office hours are 8:30-5:30 monday through friday. please feel free to call the office with any other concerns or questions that might arise. followup instructions: call dr office at . schedule an appointment for 2-3 weeks. follow up with your cardiologist in - dr . procedure: diagnostic ultrasound of heart pulmonary artery wedge monitoring endovascular implantation of graft in thoracic aorta diagnoses: thoracic aneurysm without mention of rupture atrial fibrillation late effects of motor vehicle accident late effect of unspecified injury 

Answer: The patient is high likely exposed to