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 / sulfa (sulfonamides) attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath vsd repair/cabg x1 (lima to lad) history of present illness: 71 year old woman with several months of exertional chest pain. woke this morning (about 5 hours prior to presentation) with chest pressure radiating to the arm, sob. no diaphoresis, light headedness, palpitations, syncope. daughter (nursing student) listened to her mother's heart and noted that her normal "lub dub" had changed to a more constant "whirr". then had her mother take 4 baby aspirin at home and then brought her to er. in ed at osh tachycardic in the 120's, and prominent murmur on exam. ekg with q's in v1-v2, st elevations in v1-v2-v3 with inverted t-waves in precordial leads (ekg not available for review). treated with 600mg plavix, heparin bolus without a drip, iv lopressor, integrilin bolus and drip. then transferred to for cath. . cardiac cath demonstrated a proximal lad stenosis of 90%, lcx, and rca without disease. rhc demonstrated an o2 step-up from svc to pa of 63 - 86 c/w vsd. estimated shunt fraction of 3:1. intra-aortic balloon pump was placed and patient transferred to ccu for managment. plan on admission to ccu is for operative repair of her vsd, and a lima to lad. . on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: - dyslipidemia - hypertension - denies dm - cardiac history: no known history of cad. had work-up at hospital several years ago - does not know results. social history: social history is significant for the absence of tobacco use. patient is a social drinker (no more than occasional drinks), no ivdu. family history: family history notable for a brother with 3 prior cabg's first in his 50's. father deceased at 54 years from mi. mother 89 y/o w/o significant heart disease. physical exam: vs: t 99, bp 103/78, hr 92, rr 16 , o2 99%, pap: 39/21 mean 29, cvp 12 gen: wdwn middle aged woman in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. fully reclined in bed with iabp in place. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple, unable to assess jvp as fully reclined. cv: pmi located in 5th intercostal space, midclavicular line. rr, systolic murmur with prominent diastolic component. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. lungs were clear anteriorly. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. r-femoral sheath, iabp in place. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp 5'2" 61.2 kg pertinent results: 12:00pm pt-12.4 ptt-94.8* inr(pt)-1.1 12:00pm plt count-220 12:00pm neuts-71.2* lymphs-22.7 monos-3.8 eos-2.2 basos-0.1 12:00pm wbc-11.6* rbc-4.17* hgb-13.3 hct-38.0 mcv-91 mch-31.8 mchc-34.9 rdw-13.2 12:00pm ck(cpk)-755* 12:00pm estgfr-using this 12:00pm glucose-115* urea n-13 creat-0.8 sodium-141 potassium-4.6 chloride-109* total co2-19* anion gap-18 12:55pm hgb-13.0 calchct-39 o2 sat-99 12:55pm type-art o2-100 o2 flow-4 po2-166* pco2-37 ph-7.42 total co2-25 base xs-0 aado2-519 req o2-86 intubated-not intuba 04:52pm pt-11.9 ptt-61.2* inr(pt)-1.0 08:17pm blood wbc-16.9* rbc-2.83* hgb-9.1* hct-27.6* mcv-98 mch-32.3* mchc-33.1 rdw-13.8 plt ct-45*# 10:50pm blood hct-28.2* 08:17pm blood pt-28.8* ptt-51.2* inr(pt)-3.0* 08:17pm blood plt ct-45*# 07:45pm blood glucose-52* urean-30* creat-2.1*# na-135 k-5.9* cl-101 hco3-8* angap-32* 07:45pm blood alt-4339* ast-6635* ld(ldh)-5664* alkphos-79 amylase-338* totbili-1.9* 07:45pm blood lipase-13 07:45pm blood albumin-2.7* 11:43pm blood glucose-107* lactate-13.9* k-4.8 01:14am blood heparin dependent antibodies- brief hospital course: admitted on and had a cardiac cath ( results above). referred for urgent cabg /vsd repair with iabp and swan in place. ruled in for acute mi. echo revealed multiple wall motion abnormalitites with with akinesis in anteroseptal and apical areas.underwent cabg x1/vsd patch closure the following morning on with dr. . transferred ot the cvicu in stable condition on epinephrine and propofol drips. epinephrine drip weaned off on pod #1, and extubated early that afternoon. iabp was removed on pod #2 and that evening, she developed respiratory distress and becmae unresponsive. she was reintubated with milrinone and phenylephrine drips started for hypotension with sbp 100 at time of intubation. thick brown secretions were noted with ett suctioning. of note, her creatinine rose to 2.1 from 1.0, and lactate rose throughout the day with concern for ischemic bowel. her ph also dropped to 6.99 and urine output continued to decrease. transplant surgery consult done for evaluation. inr rose to 3.0 with a lactate of 14. she also developed a fib.tte that evening showed no pericardial effusion. tee that evening showed small aspical vsd, mild mr, severe tr, trace ai, small pericardial effusion, and akinetic areas of the septum, anterior wall, apex, and distal inferior wall. rv was also hypokinetic with a dilated ra.concern was high for bowel ischemia and renal consult was done for evaluation for cvvh. support continued with levophed, neosynephrine, vasopressin and bicarb. surgery team approached family about exploratory laparotomy to rule out bowel ischemia as her abdomen became firm and she remained unresponsive. her lfts rose into the thousands. her prognosis was very grave and the family stated the pt.would not want surgery. they requested supportive care at that time. she developed prolonged hypotension despite maximal support and became bradycardic. cpr was started and the family was notified at that time. they agreed with the decision to stop all measures and the pt. expired at 1:10 am on . family declined autopsy. medications on admission: home: norvasc toprol xl lisinopril plavix 600 mg (dose only on ) discharge disposition: expired discharge diagnosis: cad with acute mi/vsd/iabp s/p cabg x1/vsd repair htn elev. lipids metabolic acidosis multi-organ failure discharge condition: expired procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters intraoperative cardiac pacemaker injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor diagnostic ultrasound of heart insertion of endotracheal tube implant of pulsation balloon pulmonary artery wedge monitoring monitoring of cardiac output by other technique transfusion of packed cells transfusion of platelets repair of ventricular septal defect with prosthesis, open technique diagnoses: acidosis other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care cardiac complications, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases other and unspecified hyperlipidemia cardiac arrest family history of ischemic heart disease urinary complications, not elsewhere classified oliguria and anuria tricuspid valve disorders, specified as nonrheumatic acute pericarditis, unspecified unspecified vascular insufficiency of intestine acquired cardiac septal defect 

Answer: The patient is high likely exposed to