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) / chloromycetin attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - avr (#23 ce tissue) history of present illness: this 69 year-old patient with history of a recently diagnosed aortic stenosis was investigated further. cardiac catheterization showed normal coronary arteries and an echocardiogram showed severe aortic stenosis with mammary artery of 0.5. she also had significant mitral calcification but no stenosis or regurgitation. the left ventricular function was well preserved. the patient was electively admitted for aortic valve replacement. past medical history: hyperlipidemia as mvp htn niddm renal calculi obesity fibrocystic breasts microalbuminuria uterine cancer social history: retired nurse. smoked 1ppd x 35 years quitting in . lives alone in , ma. rare alcohol use. family history: negative for premature heart disease physical exam: pulse 72 bp: 123/64 5'6" 291 lbs\ gen: wdwn female in nad heent: ncat, perrl, anicteric sclera, op benign, teeth in good repair. neck supple lungs: cta heart: rrr, iii/vi sem abdomen: obese, benign ext: no varicosities, no edema, warm,well perfused. neuro: nonfocal pertinent results: 06:35am blood wbc-11.4* rbc-2.82* hgb-8.0* hct-24.4* mcv-87 mch-28.2 mchc-32.6 rdw-14.8 plt ct-194 06:40am blood hct-24.7* 06:35am blood plt ct-194 echo prebypass 1. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2.there is moderate symmetric left ventricular hypertrophy. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3.right ventricular chamber size and free wall motion are normal. 4.there are simple atheroma in the descending thoracic aorta. 5.there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis. mild to moderate (+) aortic regurgitation is seen. 6.the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. the mitral valve is mildly stenotic. 7. there is no pericardial effusion. post cpb: 1.preserved biventricular systolic function. 2. bioprosthesis in aortic position, well seated and stable with good leaflet excursion. no ai. 3.no other change in valve structure and function cxr the heart size is markedly enlarged but stable, as well as widened mediastinum. the patient still has mild pulmonary edema, which has improved in comparison to the previous film from , . there is also some decrease in bilateral pleural effusion. ospital course: ms. was admitted to the on for elective surgical management of her aortic stenosis. she was taken directly to the operating room where she underwent an aortic valve replacement using a 23mm pericardial valve. (please see operative note for details). postoperatively she was taken to the intensive care unit for monitoring. by postoperative day one, ms. was awake, extubated and neurologically intact. her drains were removed per protocol. on postoperative day two, she was transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. ms. had an incident where she slipped out of bed however no injury was sustained in this fall. she continued to make steady progress and was discharged home on postoperative day five. she will follow-up with dr. , her cardiologist and her primary care physician as an outpatient. medications on admission: lipitor glipizide atenolol norvasc altace aspirin avandia tricor mvi discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 3. 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* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 8. glipizide 10 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po bid (2 times a day). 9. rosiglitazone 2 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 10. fenofibrate micronized 48 mg tablet sig: one (1) tablet po qd (). disp:*30 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 12. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 13. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice discharge diagnosis: as niddm htn lipids mvp lymphoma nephrolithiasis fibrocystic breats disease microalbuminuria solar ketoses tah/bso s/p appy s/p t&a s/p cervical mediastinoscopy discharge condition: good. discharge instructions: call with fever, redness or draiange from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incision. no lifting or driving until follow up with surgeon. p instructions: dr. 4 weeks dr. 2 weeks dr. 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft diagnoses: pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled mitral valve insufficiency and aortic valve stenosis obesity, unspecified lymphosarcoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to