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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - mitral valve repair (28mm cg annuloplasty ring) history of present illness: 34 year old woman with marfan's syndrome and known severe mitral valve prolapse with regurgitation, who was planned for a mv repair in of with dr. but was lost to follow-up. she remains symptomatic and is now prepared to undergo mitral valve repair/replacement surgery. past medical history: marfans syndrome mvp with severe mitral regurgitation gastric reflux disease history of gestational diabetes mellitus hypertension with pregnancy obesity c-section x 2 laser eye surgery cataract surgery foot surgery (shorten bone length) social history: lives with: husband and 2 children occupation: homemaker tobacco: never etoh: denies rec drug use: none family history: mother with coronary artery disease in her 20s and marfan's physical exam: vitals: bp: 125/82 hr: 71 rr: 14 o2 sat: 97%-ra height: 5'9" weight: 260lbs general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 2/6sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: - left:- pertinent results: 05:20am blood wbc-12.3* rbc-3.63* hgb-10.0* hct-31.3* mcv-86 mch-27.6 mchc-32.0 rdw-13.6 plt ct-226 01:46pm blood wbc-25.5*# rbc-3.83* hgb-10.6* hct-32.6* mcv-85 mch-27.6 mchc-32.4 rdw-13.5 plt ct-163 05:20am blood plt ct-226 12:52pm blood pt-23.0* ptt-44.5* inr(pt)-2.2* 12:52pm blood plt ct-116* 12:52pm blood fibrino-97.0* 05:20am blood glucose-106* urean-8 creat-0.7 na-141 k-4.0 cl-101 hco3-34* angap-10 01:46pm blood urean-10 creat-0.6 cl-114* hco3-23 05:20am blood alt-15 ast-21 ld(ldh)-290* alkphos-108* amylase-41 totbili-0.4 05:20am blood lipase-28 05:20am blood albumin-3.1* mg-2.3 echocardiography report -, (complete) done at 11:47:53 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 34 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: mitral valve disease. mitral valve prolapse. murmur. shortness of breath. icd-9 codes: 786.05, 424.0 test information date/time: at 11:47 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 #: 2010aw33-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 50% to 60% >= 55% aorta - ascending: 3.2 cm <= 3.4 cm findings left atrium: mild la enlargement. no spontaneous echo contrast in the body of the la. no mass/thrombus in the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: normal ra size. 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. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. elongated mitral valve leaflets. moderate/severe mvp. normal mitral valve supporting structures. no ms. moderate to severe (3+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pulmonic valve not well seen. 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. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is mildly dilated. no spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. the mitral valve leaflets are elongated. there is moderate/severe mitral valve prolapse with severe prolapse of p2.. moderate to severe (3+) mitral regurgitation is seen. the mitral annulus is dilated and measures 3.7 cm in the 4-chamber and 3.9 cm in the commisural view. 7. there is no pericardial effusion. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. sinus tachycardia. well-seated annuloplasty ring in the mitral position with no mr. mild ms with a gradient of 9 with a cardiac output of 6 l/min. preserved biventricular systolic function. aortic contour is normal post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13: brief hospital course: admitted same day surgery and underwent mitral valve repair. please see operative note for details. postoperatively she was taken to the intensive care unit for monitoring. over the next several hours, she awoke neurologically intact and was extubated. on postoperative day one she was transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. she continued to progress and was ready for discharge home with services on post operative day four. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. motrin 600 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. lasix 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: mvp with severe mitral regurgitation s/p mv repair marfans syndrome gastric esophageal reflux disease history of gestational diabetes mellitus hypertension with pregnancy obesity discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with dilaudid prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: dr at heart center thrusday at 9am please call to schedule appointments primary care dr. in weeks cardiologist dr. in weeks procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart annuloplasty open heart valvuloplasty of mitral valve without replacement diagnoses: esophageal reflux mitral valve disorders other specified congenital anomalies of heart other postprocedural status other states following surgery of eye and adnexa obesity, unspecified marfan syndrome 

Answer: The patient is high likely exposed to