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: ultram / prilosec attending: chief complaint: angina/increasing fatigue major surgical or invasive procedure: aortic valve replacement, . medical biocor epic valve history of present illness: 80 year old female with increasing fatigue and chest tightness with exertion. first noted symptoms in . echo showed severe aortic stenosis. cath confirmed as with normal coronaries. she was referred for surgery. past medical history: tias hyperlipidemia osteoarthritis severe third degree burns during childhood (neck, chest, abd) hyperhomocysteinemia occ. short-term memory loss osteopenia bursitis bil. hips h. pylori 5 yrs ago herpes zoster left facial droop colon polyps s/p tonsillectomy and adenoidectomy multiple reconstructive surgeries with skin grafting coccygectomy bilateral cataract . cholecystectomy total abdominal hysterectomy left foot . social history: race: caucasian last dental exam: recent, letter faxed lives with: partner occupation: retired tobacco: none etoh: none family history: mother died of cva/mi @ 69 physical exam: pulse: 58 resp: 20 o2 sat: 100% ra b/p left: 156/72 height: 5'3" weight: 170lbs general: well-developed elderly female in no acute distress skin: dry intact massive scarring and skin grafting right neck/chest/abd heent: perrla eomi anicteric sclera;op unremarkable neck: supple full rom no jvd; right neck scarring chest: lungs clear bilaterally heart: rrr irregular murmur-4/6 sem radiates throughout precordium abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema-none; mutiple sites of prior skin harvesting for grafts varicosities: bil. spider veins neuro: grossly intact; mae strengths;nonfocal exam pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit murmur radiates bilat. pertinent results: echo : pre-bypass: the left atrium and right atrium are normal in cavity size. 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. there is mild symmetric left ventricular hypertrophy. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve is bicuspid. there is critical aortic valve stenosis (valve area <0.8cm2). no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post-bypass: intact thoracic aorta. lvef 55%. normal rv systolic function. aortic bioprosthesis is in situ and stable and is functioning well. the residual gradients are peak of 20mm and mean 12mm of hg. trivial mr .thin chordal apparatus visualized in the lvot, not seen pre cpb. there is no mr and the gradients through the aortic valve is normal for its size. 10:29am blood wbc-6.6 rbc-2.72*# hgb-8.7*# hct-24.8*# mcv-91 mch-31.9 mchc-34.9 rdw-13.1 plt ct-148* 07:06am blood wbc-9.2 rbc-2.77* hgb-8.9* hct-26.8* mcv-97 mch-32.2* mchc-33.2 rdw-13.4 plt ct-84* 10:29am blood pt-14.1* ptt-38.2* inr(pt)-1.2* 02:29am blood pt-12.9 ptt-29.4 inr(pt)-1.1 11:54am blood urean-17 creat-0.8 cl-109* hco3-24 04:14am blood glucose-106* urean-19 creat-0.8 na-138 k-4.1 cl-102 hco3-29 angap-11 02:29am blood calcium-8.1* phos-1.9* mg-2.1 brief hospital course: ms was brought to the operating room on after routine preoperative testing for an aortic valve replacement . medical biocor epic valve. please see operative report for surgical details. following surgery she was transferred to the intensive care unit in stable condition on neo-synephrine and propofol. within 24 hours she was weaned off all vasoactive and sedative medication, awoke neurologically intact and extubated without incident. chest tubes and pacing wires were removed per cardiac surgery protocol. she was transferred to the step down unit where she continued to work with physical therapy for increased strength and endurance. on post-op day four she appeared to be doing well but required additional physical therapy at rehab facility with the appropriate medications and follow-up appointments. medications on admission: plavix 75 mg daily (will stop ) acotonel 150 mg q monthly folic acid 1 mg daily hctz 12.5 mg daily gabapentin 100 mg tid loraxepam 0.5 mg daily paroxetine 10 mg daily simvastatin 20 mg daily calcium 500mg magnesium 250 mg daily vitamin b12 25 mg daily vitamin b6 100mg daily fish oil 1200 mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. lasix 40 mg tablet sig: one (1) tablet po once a day for 3 weeks: please adjust dose depending on response/weight (pre-op weight 170 lbs, current 192). tablet(s) 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po every twenty-four(24) hours for 3 weeks. tab sust.rel. particle/crystal(s) 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 11. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. discharge disposition: extended care facility: discharge diagnosis: aortic stenosis s/p aortic valve replacement past medical history: tias hyperlipidemia osteoarthritis severe third degree burns during childhood (neck, chest, abd) hyperhomocysteinemia occ. short-term memory loss osteopenia bursitis bil. hips h. pylori 5 yrs ago herpes zoster left facial colon polyps past surgical history: s/p tonsillectomy and adenoidectomy multiple reconstructive surgeries with skin grafting coccygectomy bilateral cataract . cholecystectomy total abdominal hysterectomy left foot discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments surgeon dr. in 4 weeks at 1:00 pm primary care dr in weeks cardiologist dr in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: aortic valve disorders other and unspecified hyperlipidemia other and unspecified angina pectoris osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits disorder of bone and cartilage, unspecified personal history of colonic polyps scar conditions and fibrosis of skin disturbances of sulphur-bearing amino-acid metabolism late effects of accident caused by fire late effect of burns of other specified sites late effect of burn of eye, face, head, and neck 

Answer: The patient is high likely exposed to