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: morphine attending: chief complaint: shortness of breath major surgical or invasive procedure: aortic valve replacement(19mm st. mechanical), mitral valve replacment(25mm st. mechanical), and tricsupid valve repair(28mm annuloplasty band). repair of innominate vein with pericardial patch. lymph node biopsy. history of present illness: mrs. is a 45 year old female with history of hodgkins lymphoma treated with splenectomy as well as mantle radiation. she has known aortic insufficiency and recently complainted of worsening shortness of breath. a recent echocardiogram revealed mild aortic stenosis, + aortic insufficiency, 3+ mitral regurgitation, 2+ tricuspid regurgitation, with normal left ventricular function. subsequent cardiac catheterization confirmed 3+ mitral regurgitation and 3+ aortic insufficiency with normal lv function. mean pulmonary artery pressure was 50mmhg. coronary angiography showed only minimal coronary artery disease. based on the above results, she was referred for cardiac surgical intervention. past medical history: congestive heart failure, hypercholesterolemia, history of hodgkins lymphoma - s/p mantle radiation, bipolar disorder, history of endometriosis, s/p thyroidectomy, s/p splenectomy, s/p tubal ligation, history of bowel obstruction - s/p repair social history: active smoker, 1ppd for the last 30 years. she denies etoh. she is married with children. she is currently on disability. family history: negative for premature coronary artery disease. physical exam: vitals: bp 96/54, hr 98, rr 16 general: well developed female in no acute distress heent: oropharynx benign, perrl neck: supple, no jvd, transmitted murmurs heart: regular rate, normal s1s2, diffuse 3-4/6 systolic murmur lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 2+ distally neuro: alert and oriented, cn 2-12 intact, nonfocal brief hospital course: on the day of admission, dr. performed aortic and mitral valve replacements along with repair of the tricuspid valve. given history of hodgkins lymphoma, mediastinal lymph node biopsy was also obtained at time of the operation. for further surgical details, please see seperate dictated operative note. following the operation, she ws brought to the csru for invasive monitoring. she initially required epinephrine, neosynephrine and volume for hemodynamics instability. she was gradually weaned from sedation and eventually awoke neurologically intact. on postoperative day two, she was extubated without incident. inotropes were weaned without difficulty. she otherwise maintained stable hemodynamics and transferred to the sdu on postoperative day two. she continued to experience a drop in platelet count for which the hematology service was consulted. platelet count dropped as low as 23k. initial hit assays were negative and there was no evidence of dic or ongoing hemolysis. given double mechanical valves, anticoagulation with intravenous argatroban was initiated and titrated for a ptt between 60-80 seconds. warfarin was not started until platelet count reached over 100k. over several days, platelet count improved and warfarin anticoagulation was started. her target inr is between 3.0 - 3.5. she was aggressively diuresed during her stay. during the post-operative period she experiences atrial fibrillation and was therefore seen in consultation by the cardiology service. she was placed on amiodarone and ordered for of hearts monitor upon discharge. the rest of her hospital course was unremarkable. she continued to make clinical improvements with diuresis and made steady progress with physical therapy. she was cleared for discharge to home on postoperative day 17. medications on admission: levothyroxine 175 mcg qd, toprol xl 75 qd, lasix 20 qd, tegretol 200 , valium 5 qd, zyprexa 15 qd, seroquel 100 qd, lipitor 20 qd, lisinopril 2.5 qd, nicotine patch discharge medications: 1. lasix 80 mg tablet sig: one (1) tablet po twice a day for 10 days: take 80 mgs two times per day for ten days, then 80 mg once per day for ten days . disp:*20 tablet(s)* refills:*30* 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 10 days: take 40 meq daily for ten days and then 20 meq for ten days. disp:*30 tab sust.rel. particle/crystal(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take as long as you are taking percocet. disp:*60 capsule(s)* refills:*0* 4. warfarin 2 mg tablet sig: two (2) tablet po once a day: take as directed by dr. . disp:*60 tablet(s)* refills:*0* 5. lipitor 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. quetiapine 100 mg tablet sig: one (1) tablet po q 24h (every 24 hours). disp:*30 tablet(s)* refills:*0* 7. carbamazepine 200 mg tablet sig: one (1) tablet po bid (2 times a day). 8. olanzapine 15 mg tablet sig: one (1) tablet po daily (daily). 9. diazepam 5 mg tablet sig: one (1) tablet po bid (2 times a day). 10. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*0* 11. levothyroxine 175 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 12. amiodarone 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 13. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: congestive heart failure, aortic, mitral and tricuspid valve regurgitation - s/p aortic valve replacement, mitral valve replacment, and tricuspid valve repair, postop thrombocytopenia, hypercholesterolemia, history of hodgkins lymphoma - s/p mantle radiation, bipolar disorder, history of endometriosis, thyroidectomy, splenectomy, tubal ligation, history of bowel obstruction - s/p repair discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. dr. will manage your warfarin as an outpatient. please have pt/inr checked within 48-72 hours of discharge with results faxed to dr. : (. warfarin should be adjusted for goal inr between 3.0 - 3.5. followup instructions: dr. in weeks - call for appt dr. in weeks - call for appt dr. in weeks - call for appt follow with thyroid function test levothyroxine increased please return in 1 week to for a chest x-ray. procedure: extracorporeal circulation auxiliary to open heart surgery thoracentesis open and other replacement of aortic valve open and other replacement of mitral valve annuloplasty biopsy of lymphatic structure transfusion of packed cells repair of blood vessel with tissue patch graft continuous intra-arterial blood gas monitoring diagnoses: pure hypercholesterolemia tobacco use disorder cardiac complications, not elsewhere classified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified rheumatic heart failure (congestive) primary pulmonary hypertension multiple involvement of mitral and aortic valves other diseases of lung, not elsewhere classified bipolar disorder, unspecified diseases of tricuspid valve personal history of irradiation, presenting hazards to health postsurgical hypothyroidism personal history of malignant neoplasm of thyroid 

Answer: The patient is high likely exposed to