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 attending: chief complaint: asymptomatic w/ mitral valve prolapse major surgical or invasive procedure: mitral valve replacement with a 25 mm ce pericardial valve history of present illness: 75 y/o female w/ h/o mvp. recent echo () showed decreased ef and severe mr cardiac surgery consult. past medical history: mvp/mr htn ^chol osteoporosis oa diverticulosis cataracts s/p removal s/p bilat ovary removal social history: pt. is retired and lives with husband. quit smoking in after <10 pk yr hx. rare etoh use. family history: sister w/ "heart problems" requiring multiple surgeries starting at age 20. physical exam: vs: ht: 4'" wt: 114 hr: 74 bp: 138/80 general: walked into office in nad heent: perrla, eomi neck: supple, +carotid bruits chest: fine rales at bilat. bases heart: rrr, 4/6 sem loudest at base with radiation to carotids & axilla abd: soft, nt/nd, +bs ext: warm, well-perfused, - edema, rle varicosities neuro: a&o x 3 pertinent results: pre-op cxr: cardiomegaly without vascular congestion. pre-op ekg: sinus rhythm (62). modest diffuse non-specific st-t wave changes. pre-op ua: negative 05:08pm blood hct-32.9* 03:16am blood wbc-17.7*# rbc-3.66* hgb-10.6* hct-31.5* mcv-86 mch-29.0 mchc-33.7 rdw-14.4 plt ct-209# 05:40am blood wbc-4.8 rbc-3.17* hgb-9.2* hct-27.7* mcv-87 mch-29.0 mchc-33.2 rdw-14.3 plt ct-193 04:57pm blood pt-19.2* ptt-38.6* inr(pt)-2.3 05:40am blood plt ct-193 07:01am blood pt-18.9* inr(pt)-2.3 05:08pm blood urean-9 creat-0.4 cl-111* hco3-24 05:40am blood glucose-100 urean-8 creat-0.5 na-138 k-4.2 cl-104 hco3-30* angap-8 brief hospital course: pt. was a same day admit to the operating room. she was brought to the or and after general anesthesia pt. underwent a mitral valve replcement for severe mr/mvp. please see operative note for full surgical details. pt. tolerated the procedure well with a total cpb time of 115 minutes and xct of 94 minutes. pt. was transferred to csru in stable condition with a map of 76, cvp 13, pad 16, 23, hr 77 a-paced and being titrated on neosynephrine and propofol drips. that night pt. suddenly went into v. fib. arrest and was quickly converted with electric cardioversion. a lidocaine bolus and iv drip were also started. pt. remained sedated and intubated overnight. pod #1 - pt. was in nsr and propofol was weaned early morning and pt. became awake and alert. she was then extubated, breathing well and neurologically intact. lidocaine was d/c'd and lopressor and lasix was started. pod #2 - remained in the icu secondary to neo support. hr sinus in 50-60s (paced in 80s). chest tubes & foley removed. coumadin started. pod #3 - pt. had run of a.fib/a. flutter in am. back in sr after lopressor. pod #4 - pt. had another brief run of a. flutter and self converted. she is stable and was trnaferred to 2 today. pod #5 - pacing wires removed. pt. hemodynam. stable. encouraged pt to continue pt and increase activity. pod #6 - pt. at level 5. doing well with some complications post-op. d'c'd home today with vna. d/c pe: vs: t 97.7 p 83 sr bp 125/53 rr 18 neuro: alert, oriented, non-focal pulm: ctab cardiac: rrr sternum: stable, incision c&d, -drainage/erythema abd: soft, nt/nd +bs ext: warm, 1+ edema medications on admission: 1. lipitor 10mg qd 2. atenolol 50 mg qd 3. diovan 80 mg qd 4. fosamax 70 mg qweekly 5. asa 81 mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(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. warfarin sodium 1 mg tablet sig: as directed tablet po daily (daily): target inr 2-2.5 pt to take 3mg and then as directed by dr . coumadin x 3 month. disp:*75 tablet(s)* refills:*0* 4. 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* 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. atenolol 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 7. fosamax 70 mg tablet sig: one (1) tablet po once a week. 8. tums 500 mg tablet, chewable sig: one (1) tablet, chewable po four times a day. discharge disposition: home with service facility: all care vna discharge diagnosis: severe mitral regurgitation & mitral valve prolapse, s/p mitral valve replacement with a 25 mm ce pericardial valve. htn ^chol osteoporosis oa diverticulosis cataracts s/p removal s/p bilat ovary removal discharge condition: stable. discharge instructions: shower daily and wash incisions with soap and water; rinse well. do not apply any creams, lotions, powders, or ointments. no swimming or bathing in a tub. no driving for 6 weeks. no heavy lifting, greater tahn 10 pounds. followup instructions: schedule appointment with dr. in 4 weeks. schedule appointment with dr. in 4 weeks. schedule appointment with dr in weeks. vna to call dr with inr results and procedure: extracorporeal circulation auxiliary to open heart surgery intraoperative cardiac pacemaker other electric countershock of heart open and other replacement of mitral valve with tissue graft monitoring of cardiac output by other technique transfusion of packed cells diagnoses: pure hypercholesterolemia mitral valve disorders unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use atrial flutter cardiac arrest osteoporosis, unspecified long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation acquired absence of organ, genital organs cataract extraction status 

Answer: The patient is high likely exposed to