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: no known allergies / adverse drug reactions attending: chief complaint: type a aortic dissection major surgical or invasive procedure: - 1. replacement of ascending aorta with a dacron tube graft. 2. total arch replacement with dacron tube graft. graft data: vascutek gelweave graft 28 mm in diameter with 10, 8 and 8 mm side branches as well as a separate 8-mm side branch, reference number , lot number , serial number . 3. resuspension of aortic valve. history of present illness: 74 y/o female s/p endograft stenting of proximal descending aorta for penetrating ulcer and intramural hematoma on presented to hospital last night c/o back pain, anterior chest pain, and jaw tightness. lightheaded. patient had had mid upper back pain since previous night. ct scan at showed dissection of ascending aorta originating in aortic root and extending to stent. patient has recurrent chest pain here in er. denies paresis, paresthesia, inability to move extremities. past medical history: pmh: pud,asthma, hypothyroid, migranes psh: hyst, bilat knee , hernia repair, back surgery(tumor) social history: neg alcohol neg tobacco family history: n/c physical exam: pe: t - 100 (rectal) bp - 117/70 hr - 65 (sr) rr - 18 general - appears slightly anxious, answers questions appropriately, follows instructions heent - eomi, perrla neck - from lungs - cta cardio - rrr, nl s1 and s2, no s3, s4, murmur abdomen - obese, soft, nontender extremities - varicosities, warm neuro - oriented x 3, follows commands, answers questions appropriately, moves all extremities on command, able to lift both legs pertinent results: echo pre bypass: the ascending aorta and arch are moderately dilated. there are complex (>4mm) atheroma in the aortic arch. there is a dissection flap in the asending aorta through the mid arch. there is a communication between the lumens in the mid arch with flow seen at a postion approximately 3 cm from the left subclavian. this is suspicous as the probable origin of the dissection. the flap terminates at the sinotubular junction wihout involvement of the sinus of valsalva. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is a very small pericardial effusion without evidence for tampanode. post bypass: there is a prosthesis seen in the ascending aorta and arch with normal flow profiles. the aortic valve is native and has mild aortic insufficiency. lvef remains normal. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. admission labs: 09:30am blood wbc-9.2 rbc-3.81* hgb-11.9* hct-35.5* mcv-93 mch-31.3 mchc-33.5 rdw-14.5 plt ct-278 09:30am blood glucose-130* urean-35* creat-0.7 na-139 k-3.9 cl-102 hco3-27 angap-14 02:00am urine rbc-0 wbc-0-2 bacteria-none yeast-none epi-0 02:00am urine blood-neg nitrite-neg protein-25 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 02:00am pt-13.5* ptt-23.9 inr(pt)-1.2* 02:00am plt count-174 02:00am wbc-11.1*# rbc-4.10* hgb-13.4 hct-37.8 mcv-92 mch-32.6* mchc-35.3* rdw-14.1 02:00am glucose-185* urea n-19 creat-0.9 sodium-139 potassium-4.4 chloride-103 total co2-24 anion gap-16 discharge labs: 04:45am blood wbc-8.3 rbc-3.59* hgb-11.1* hct-34.2* mcv-95 mch-30.9 mchc-32.4 rdw-14.8 plt ct-331 04:45am blood plt ct-331 04:45am blood urean-33* creat-0.9 na-139 k-4.6 cl-100 radiology report chest (pa & lat) study date of 3:02 pm chest (pa & lat) clip # medical condition:74 s/p ao arch replacement final report in comparison with study of , the patient has taken a better inspiration and there is slightly less opacification at the bases. nevertheless, there is still probable small bilateral pleural effusions with associated compressive atelectasis. no evidence of pulmonary vascular congestion. brief hospital course: mrs. was admitted to the on for emergent repair of a type a aortic dissection. she was taken directly to the operating room where she underwent repair of a type a aortic dissection, resuspension of her aortic valve and replacement of her ascending aorta and total arch. please see operative note for details. postoperatively she was taken to the intensive care unit for monitoring. she was transfused for postoperative anemia. a bronchoscopy was performed for right lower lobe collapse. on postoperative day two, she awoke neurologically intact and was extubated. her blood pressure was strictly controlled. she had an episode of atrial fibrillation which converted back to normal sinus rhythm with beta blockade. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. on postoperative day four, she was transferred to the step down unit for further recovery. chest tubes and pacing wires were removed per cardiac surgery protocol. she remained in sinus rhythm with pvc's on the floor. lasix was increased for further diuresis. on post operative day 7 her incisions were healing well, she was tolerating a full oral diet and she was ambulating with assistance. she was discharged to rehabilitation at health care in , ma with all appropriate follow up appointments arranged. she is to have a cta of the torso before her appointment with dr , which has been scheduled. medications on admission: levothyroxine, metoprolol, , , zantac, fiorinol discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 6. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed for dry nares . 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po bid (2 times a day). 8. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 9. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) tx inhalation every four (4) hours as needed for sob or wheezing . 11. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours). 12. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). 13. losartan 50 mg tablet sig: one (1) tablet po daily (daily). 14. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 15. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for indigestion. 16. cepacol sore throat + coating 15-5 mg lozenge sig: one (1) lozenge mucous membrane every 4-6 hours as needed for sore throat. 17. ipratropium bromide 0.02 % solution sig: one (1) puff inhalation q6h (every 6 hours). 18. lasix 40 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: port healthcare center - discharge diagnosis: migraines, duodenal ulcer, back surgery spinal tumor, hypothyroidism, asthma, tag of proximal descending aorta for penetrating ulcer in , hysterectomy , pulmonary embolism discharge condition: alert and oriented x3 nonfocal ambulating with minimal assistance incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage 1+ edema discharge instructions: 1) please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns *females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: surgeon: dr. date/time: 1:00 pm ** cta of the torso scheduled prior to your appointment with dr on at 9:30 am - shipiro 4 radiology - nothing to eat 3 hrs before cta ** cardiologist: ? needs cardiologist please call to schedule appointments with your primary care , s in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery fiber-optic bronchoscopy resection of vessel with replacement, thoracic vessels open heart valvuloplasty of aortic valve without replacement diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism asthma, unspecified type, unspecified aortic valve disorders iatrogenic pneumothorax 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 personal history of venous thrombosis and embolism dissection of aorta, thoracic migraine, unspecified, without mention of intractable migraine without mention of status migrainosus other diseases of trachea and bronchus personal history of peptic ulcer disease 

Answer: The patient is high likely exposed to