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 / latex / cipro attending: chief complaint: new cerebral vascular event likely embolic in nature, found to have aortic mass at right coronary cusp. also noted at that time to have severe tricuspi regurgitation major surgical or invasive procedure: resection of aortic mass, tricuspid valve repair (28mm mc3 ring) history of present illness: 64 year old woman, found down in bathroom at home. ems at that time reported l facial droop and slurred speech. brought initially to med ctr. mri/mra showed 2 small areas of restricted diffusion compatible with subacute cerebral infarct, likely embolic in nature involving r corona radiata and r temporal parietal regions. no hemorrage. a tee showed ef 65% with 1.4x1cm mobile mass (?thrombus)at sinotubular junction of right coronary cusp. past medical history: raynauds palpitations eye lid surgery social history: retired interior designer lives with husband 90 pack year smoking history. quit 8 years ago. denies etoh use family history: brother w/cad physical exam: vs t 98 hr 83 bp 120/80 rr16 o2sat 97%ra ht 64" wt 53.6k gen a&ox3. nad skin unremarkable heent perrl, anicteric noninjected neck supple, no la chest cta bilat cv rrr abdm soft, nt/nd/+bs ext warm well perfused, no c/c/e. no varicosities neuro grossly intact pertinent results: 07:40pm glucose-127* urea n-13 creat-0.7 sodium-143 potassium-4.1 chloride-110* total co2-27 anion gap-10 07:40pm alt(sgpt)-22 ast(sgot)-25 ld(ldh)-268* alk phos-98 amylase-65 tot bili-0.3 07:40pm lipase-16 07:40pm albumin-2.8* calcium-8.3* magnesium-2.2 07:40pm wbc-8.3 rbc-4.66 hgb-14.1 hct-40.5 mcv-87 mch-30.3 mchc-34.9 rdw-13.7 07:40pm plt count-316 07:40pm pt-11.5 ptt-25.6 inr(pt)-1.0 05:30am blood hct-27.6* 06:00am blood wbc-8.6 rbc-2.88* hgb-8.4* hct-24.9* mcv-87 mch-29.3 mchc-33.9 rdw-13.8 plt ct-205# 06:00am blood plt ct-205# 02:51am blood pt-11.4 ptt-28.2 inr(pt)-0.9 06:00am blood glucose-93 urean-17 creat-0.7 na-142 k-4.1 cl-108 hco3-26 angap-12 08:10pm blood %hba1c-5.7 01:30am blood tsh-2.3 01:30am blood t4-6.9 , f 64 , r. csurg fa6a 3:57 pm chest (pa & lat) clip # reason: f/u effusions/atx final report reason for exam: tricuspid valve repair, s/p resection of aortic mass. comparison is made with prior study . moderate bilateral pleural effusions have increased. bibasilar atelectases have worsened. cardiac size is normal. mediastinal contours are unchanged. there is no pneumothorax or chf. sternal wires are aligned. dr. dr. approved: mon 8:15 am , f 64 radiology report carotid series complete study date of 9:49 am , fa6a 9:49 am carotid series complete clip # reason: new cva, ? embolic, left facial droop, slurred speech final report clinical history: 64-year-old woman with left facial droop and slurred speech. comparison: none available. findings: duplex ultrasound evaluation of the carotid and vertebral arteries was performed. on b-mode imaging there is mild echogenic smooth plaque within the proximal right internal carotid artery. there is no significant echogenic plaque seen within the left internal carotid artery. on the right, the peak systolic velocities measure 78 in the proximal ica, 82 in the mid ica, 89 in the distal ica, 87 in the cca, and 157 in the eca. the right ica/cca ratio measures 1.02. on the left, the peak systolic velocities measure 109 in the proximal ica, 78 in the mid ica, 80 in the distal ica, 108 in the cca, and 88 in the eca. the left ica/cca ratio measures 1.0. there is normal antegrade flow within both vertebral arteries. impression: 1. less than 40% stenosis in the right internal carotid artery. 2. 0% stenosis in the left internal carotid artery. dr. approved: wed 11:05 am brief hospital course: patient was admited to for surgical evaluation for aortic mass excision. her preop workup included carotid ultrasound, coronary cta, and neuro evaluation prior to surgery. she was also anticoagulated throughout this time. after workup she was deemed a surgical candidate and brought to the operating room on . at that time she had a resection of aortic mass and tv repair. her bypass time was 60 minutes with a bypass time of 46 minutes. please see operative report for details. post-operatively she was transferred to the cardiac surgery icu for continued monitoring and post-op care. she remained hemodynamically stable and within several hours was awakened and extubated. on pod1 she was transferred to the stepdown floor for continuing care. over the next few days she was started on bblockers and diuretics, her activity level was advanced with the assistance of nursing and physical therapy. her appetite and comfort level gradually improved and on pod5 she was discharged home with visiting nurses. she is to followup in the wound clinic in 2 weeks and with dr in 4 weeks medications on admission: lasix 20 daily kcl 20 daily senekot discharge medications: 1. 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:*2* 2. 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* 3. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 4. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day for 2 weeks. disp:*28 tablet sustained release(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po daily (daily). disp:*60 capsule(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. discharge disposition: home with service facility: vna discharge diagnosis: status post sternotomy with resection aortic mass at right coronary cusp/tricuspid valve repair pmh: raynauds dz cva 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 dr (pcp) in 1 week () please call for appointment please see your cardiologist in weeks. wound check appointment 2 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery annuloplasty incision of vessel, aorta diagnoses: personal history of tobacco use cerebral embolism with cerebral infarction diseases of tricuspid valve raynaud's syndrome 

Answer: The patient is high likely exposed to