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: sulfa (sulfonamides) attending: chief complaint: increasing fatigue and pre-syncope major surgical or invasive procedure: aortic valve replacement(21mm pericardial valve) and two vessel coronary artery bypass grafting(left internal mammary to left anterior descending and vein graft to obtuse marginal). history of present illness: this is an 84 year old year old female with known aortic stenosis and coronary artery disease since , who recently complained of worsening presyncopal episodes and progressive dyspnea on exertion and fatigue. her most recent echocardiogram showed an aortic valve area of 0.76cm2 with a peak of 64 and mean of 38mmhg. there was no aortic insufficiency, mild mitral regurgitation and an lvef of 65%. cardiac catheterization in confirmed severe aortic stenosis and three vessel disease. based on the above, she was referred for cardiac surgical intervention. past medical history: aortic valve stenosis, coronary artery disease, mild copd, hypertension, insulin dependent diabetes mellitus, dyslipidemia, mild chronic renal insufficiency, esophagitis, recurrent uti, osteoporosis, obesity, s/p nephrectomy, colon cancer - s/p colectomy, s/p total hip replacments, s/p chole, s/p appendectomy, s/p vein stripping, s/p cataract surgery social history: remote history of tobacco. admits to only rare etoh. she lives alone. family history: brother died of mi at age 50. father died of mi at age 62. physical exam: vitals: t 97.3, bp 160/66, hr 66, rr 20, sat 97 on room air general: elderly female in no acute distress heent: oropharynx benign, neck: supple, no jvd, heart: regular rate, normal s1s2, 4/6 systolic ejection murmur throughout precordium, radiating to carotids lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, 1+ edema, pulses: 1+ distally neuro: nonfocal pertinent results: 07:10am blood hct-31.5* 05:46am blood wbc-7.5 rbc-3.28* hgb-10.0* hct-29.7* mcv-91 mch-30.6 mchc-33.7 rdw-15.5 plt ct-130* 05:46am blood plt ct-130* 05:07am blood pt-11.8 ptt-27.8 inr(pt)-1.0 05:46am blood glucose-78 urean-18 creat-1.0 na-136 k-5.0 cl-105 hco3-25 angap-11 07:10am blood urean-19 creat-1.1 k-5.5* brief hospital course: mrs. was admitted on . due to operative emergencies, surgery was postponed to the following day. on , dr. performed an aortic valve replacement and coronary artery bypass grafting surgery. for surgical details, please see seperate dictated operative note. following the operation, she was brought to the csru for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated without incident. she weaned from inotropic support without difficulty. she maintained stable hemodynamics as beta blockade was resumed. her csru course was otherwise uneventful and she transferred to the sdu on postoperative day three. she remained in a normal sinus rhythm. beta blockade was slowly advanced as tolerated. she remained fluid overloaded and continue to require diuresis. over several days, she continued to make clinical improvements and was eventually cleared for discharge on postoperative day 7. medications on admission: atenolol 50 qd, avapro 150 qd, diltiazem xt 120 qd, evista 60 qd, lasix 20 qd, metformin 750 , zocor 20 qd, aspirin 81 qd, nitrofurantoin 100 qd, lantus, humalog ss, mv discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(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. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. raloxifene 60 mg tablet sig: one (1) tablet po daily (). 7. metformin 500 mg tablet sig: 1.5 tablets po bid (2 times a day). 8. lantus 100 unit/ml solution sig: eight (8) units subcutaneous once a day. 9. metoprolol tartrate 25 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. disp:*28 tablet(s)* refills:*0* discharge disposition: home with service facility: nursing services discharge diagnosis: aortic valve stenosis and coronary artery disease - s/p avr and cabg, copd, hypertension, insulin dependent diabetes mellitus, dyslipidemia, mild chronic renal insufficiency, esophagitis, recurrent uti, osteoporosis, obesity 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. followup instructions: cardiac surgeon, dr. in weeks. local pcp, . in weeks. local cardiologist, dr. in weeks. procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortic valve disorders chronic kidney disease, unspecified personal history of malignant neoplasm of large intestine 

Answer: The patient is high likely exposed to