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: fatigue, chest pain major surgical or invasive procedure: cabgx1(lima-lad)mv repair(26 band annuloplasty) history of present illness: 76 yo f with known cad, recent chest pain and nstemi . also with known mr with medical management. recent increase in symptoms referred for surgery. past medical history: mr, tr, cad, htn, hyperlipidemia, chronic neck pain social history: retired office worker no tobacco rare etoh family history: denies physical exam: hr 64 bp 159/82 nad lungs ctab heart rrr 2/6 sem abdomen benign extrem wawrm, no edema superficial bilateral varicosities no carotid bruits pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 09:30am 14.8* 09:15am 14.6* 07:15am 13.4* 4.11* 12.5 37.3 91 30.3 33.4 15.4 399 chemistry renal & glucose glucose urean creat na k cl hco3 angap 07:15am 140* 12 0.6 141 3.5 103 26 16 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 09:30am 15.1*1 1.3* echo pre-bypass: 1. the left atrium is moderately dilated. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 45 %) with noted hypokinesis of the apical anterior segment and apex. 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 6. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen with provocative maneuvers (trendelenberg and phenylephrine bolus). 8. there is mild to moderate tricuspid regurgitation. post-bypass: pt removed from cardiopulmonary bypass on phenylephrine infusion and av paced. 1. no mitral regurgitation is noted after mitral valve annuloplasty. mva by pht is 2.4cm2. the annuloplasty ring is well seated. 2. biventricular function is unchanged lvef 40%, no new wall motion abnormalities are noted. echo the chest tube, swan-ganz catheter, endotracheal tube, nasogastric tube, and mediastinal drains have all been removed. no pneumothorax. some residual atelectatic changes at the left and possibly also right bases. 3. mild to moderate tricuspid regurgitation is unchanged. 4. aortic contours are intact post-decannulation. operative note name: , unit no: service: csu date: date of birth: sex: f surgeon: , m.d. procedure: 1. coronary artery bypass surgery times one; left internal mammary artery to left anterior descending. 2. mitral valve repair with band annuloplasty, size 26. co-surgeons: , , md assistant: , md , md , intern anesthesiologist: , md preoperative diagnoses: coronary artery disease, moderate mitral regurgitation. brief history: this is a 76 year-old female patient, known coronary artery disease with recent non-st elevation myocardial infarction on . she was also known to have mitral regurgitation with medical management. recently, her symptoms increased and surgery was advised. findings: her coronary angiograms showed an 80% stenosis of the left anterior descending. intraoperative echo showed a moderate mitral regurgitation. this appeared to be central with the defect being at the mid posterior leaflet. it was decided to do a band annuloplasty on this patient. the 26 band was used for the annulus. the pump time was 70 minutes; cross clamp time 48 minutes. operative detail: the chest, abdomen and lower extremities were scrubbed with betadine and prepped with betadine solution. the chest was opened through a midline sternal- splitting incision. hemostasis was secured along the sternal borders and the left internal mammary artery was taken down. this artery was small but had good flow. the heparin was given. the pericardium was opened. the patient was cannulated with an ascending aortic cannula in the distal ascending aorta and a 3 stage venous cannula into the right atrium. a cardioplegia needle was inserted into the ascending aorta which will also be used for de-airing. the temperature was allowed to drift down and an aortic cross clamp was placed in the distal ascending aorta and cold antegrade blood cardioplegia was now given. the heart was arrested and a total of 1000 ml was infused. the left atrium was opened and the retractors were placed for exposure. the central jet was noted. then 2-0 non-pledgeted ethibond sutures were placed along the posterior annulus from one commissure to the other. 26 band was then sutured and seated over the posterior annulus. the sutures were tied and on testing once again, there was no central jet. the left atrium was then sutured in a single layer with 3-0 prolene. during the cross clamp time, a further 400 ml of cold blood cardioplegia was given through the antegrade cannula. the patient was rewarmed and the lad vessel was exposed. there was diffuse disease and the internal mammary artery was then anastomosed end-to- side using 8-0 prolene. the aorta cross clamp was removed in the head down position and de-airing measures were taken. atrial and ventricular pacing wires were placed and atrially paced. for a brief period, the ekg showed an ischemic pattern of the inferior leads; however, this reverted back to baseline. the hemostasis was checked with expander and the patient was taken off from bypass with some nor-epinephrine. the heparin was reversed with protamine and successfully decannulated from the cardiopulmonary bypass machine. chest tubes were placed through separate incisions; one in the left pleural and 2 in the mediastinum. once again, hemostasis was checked and chest wall was then closed in layers. the sternum was approximated with stainless steel wires, followed by monocryl for the fascia and subcutaneous tissues. the skin was closed as a subcuticular stitch with monocryl. the needle and sponge counts were correct. the patient tolerated the procedure well and went to the cardiovascular intensive care unit in stable condition. , m.d. brief hospital course: mrs. was admitted to the on and taken to the operating room where she underwent single vessel coronary artery bypass grafting and a mitral valve repair. please see separate dictated operative note for details. postoperatively she was transferred to the icu in stable condition. she was extubated later that same day. she was weaned from her vasoactive drips and transferred to the floor on pod #1 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 was started on coumadin and amiodarone for rate controlled atrial fibrillation. she became confused and was started on haldol and required a 1:1 sitter. she was transfused for a hct of 23. her confusion improved. she was started on macrodantin for a uti. her inr became supratherapeutic and she was given ffp and vitamin k. her confusion resolved and her inr came down to 1.3. she will receive 0.5 mg of coumadin today. she was discharged to rehab in stable condition on pod#7. medications on admission: imdur 30', lasix 30', lisinopril 10', prilosec 20', asa 81', mvi, percocet prn, fent 50 mcg q72, caltrate discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 7. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). 9. coumadin 1 mg tablet sig: 0.5 tablet po once a day: titrate to inr goal of .5. discharge disposition: extended care facility: long term health - discharge diagnosis: cad/mr now s/p cabg/mv repair tr, htn, hyperlipidemia, chronic neck pain discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. p instructions: dr. 2 weeks dr. 4 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery annuloplasty transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure knee joint replacement subendocardial infarction, subsequent episode of care diseases of tricuspid valve delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to