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: chest pain major surgical or invasive procedure: diagnostic laparoscopy converted to laparotomy with small-bowel resection and primary anastomosis, sigmoid and descending colon colectomy with transverse ostomy and omentectomy. history of present illness: 61f with recent admission for cva on . discharged on plavix. she was home for one day, and developed chest pain. she presented to an osh and found to be bradycardic with melanotic stool.echo showed question of aortic flap. she was was transferred to for further evaluation of possible type a dissection. pt arrived intubated on nipride drip for blood pressure control. past medical history: diabetes mellitus, chronic renal insufficiency ( ? baseline 2.8) hypertension cva hyperlipidemia hypothyroidism coronary artery disease s/p cabg anxiety depression social history: lives with: husband, independent in adls contact: phone # occupation: cigarettes: smoked no yes last cigarette _many years ago_ hx: other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: no premature cad physical exam: ** arrived intubated and sedated pulse: 62 junctional resp: 12 o2 sat: 90% b/p right: left: 134/62 height: weight: five meter walk test #1_______ #2 _________ #3_________ general: intubated, sedated skin: dry intact well healed median sternotomy well healed incision on abdomen heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular distant heart sounds murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + **bowel sounds not appreciated extremities: warm , well-perfused edema trace pedal_ varicosities: none neuro: grossly intact sedated pulses: femoral right: 2+ left:2+ dp right: left: doppler pt : left: doppler radial right: 1+ left: a-line carotid bruit right: 2+ left: 2+ no bruits appreciated pertinent results: impression: 1. type a dissection extending down to the coronary arteries. 2. 6.7 x 4.3 cm contrast-containing collection between the aorta and the main pulmonary arteries concerning for a contained rupture/pseudoaneurysm. this causes mass effect on the pulmonary artery trunk and the left upper pulmonary vein. 3. the inferior extent of the dissection is down to just proximal to the bifurcation of the abdominal aorta. the dissection extends into the proximal aspects of the superior mesenteric and celiac arteries, although the more distal aspects of these vessels arise from the true lumen. 4. both kidneys are hypoperfused although arising from the true lumen, aside from an accessory right renal artery which supplies the inferior pole of the right kidney arising from the false lumen. 5. inferior mesenteric artery arises from the false lumen. 6. fibroid uterus. 7. consolidations in the left upper lobe concerning for pneumonia. bibasilar atelectasis with possible superimposed infection in the right lower lobe. 8. small bilateral simple effusions. these findings were communicated to , md, via telephone at 9 p.m. on . the study and the report were reviewed by the staff radiologist. dr. dr. 02:47am blood wbc-30.5* rbc-3.81* hgb-11.7* hct-34.4* mcv-90 mch-30.7 mchc-34.0 rdw-14.6 plt ct-294 04:11pm blood wbc-18.0* rbc-2.92* hgb-9.4* hct-27.4* mcv-94 mch-32.1* mchc-34.3 rdw-14.9 plt ct-177 02:03am blood pt-14.0* ptt-26.2 inr(pt)-1.2* 04:11pm blood pt-13.4 ptt-26.4 inr(pt)-1.1 02:47am blood glucose-113* urean-35* creat-1.5* na-136 k-4.2 cl-103 hco3-22 angap-15 04:11pm blood glucose-175* urean-65* creat-3.4* na-141 k-4.8 cl-114* hco3-15* angap-17 02:47am blood alt-44* ast-92* ld(ldh)-394* alkphos-119* amylase-535* totbili-0.3 04:11pm blood alt-15 ast-33 ld(ldh)-249 ck(cpk)-203* alkphos-57 amylase-131* totbili-0.2 11:13am blood type-art po2-86 pco2-34* ph-7.39 caltco2-21 base xs--3 04:31pm blood type-art po2-64* pco2-42 ph-7.16* caltco2-16* base xs--13 comment-verified brief hospital course: mrs. had a previous admission to osh for a cva for which she was discharged on on plavix. twenty-four hours after her discharge she returned to the osh complaining of chest pain and was found to be bradycardic and having melenotic stool. tte at the osh revealed a possible aortic flap. she was placed on nipride drip for blood pressure management. her status deteriorated requiring intubation. mrs. was transferred to on intubated and sedated. she was admitted to the cvicu and iv blood pressure management continued. cta done given recent cva with gi bleed. cta demonstrated a type a aortic dissection extending from coronaries to the abdominal bifurcation involving the major vessels including the renals, celiac, sma and . echo done the following morning confirmed moderate to severe ai, moderate mr , normal ef and a dissection flap from aortic root into descending aorta. hospital day one she became anuric and acidotic and crrt was started after consultation with renal service. mrs. had a severe metabolic acidosis and was treated with a sodium bicarbonate drip as well as cvvh. cardiac surgery for her type a dissection was was delayed initially due to the patients severe acidosis, hemodynamic instability, and extreme risk of mortality. ep was consulted for evaluation of bradycardia. per ep no indication for transvenous pacing as symptomatic episodes associated with bradycardia were with known metabolic abnormalities. ep continued to follow the patient due to her ongoing rhythm issues. per ep the patient very possibly has tachy-brady syndrome leading to aberrantly-conducted atrial tachycardia, followed by conversion pauses to sinus bradycardia. on the vascular surgery team consulted and discussed with patient's family their wishes regarding the need for a major operation following the needed type a dissection repair (open thoracoabdominal aortic aneurysm repair). of note, mrs. was requiring multiple pressors for hemodynamic support at this time. on general surgery was consulted secondary to concern for mesenteric ischemia from the type a dissection involving major vessels to intestine with acutely increasing wbc, lactate and stool output. gen felt that chances of surviving laparotomy at that point were low. it was felt at that time in discussion with family, general surgery and csurg team, consensus was to pursue conservative management with treatment for cdiff colitis and assessing progress prior to further decisions. on as the patients condition was not improving, general surgery took mrs. to the operating room where she underwent diagnostic laparoscopy converted to laparotomy with small-bowel resection and primary anastomosis, sigmoid and descending colon colectomy with transverse ostomy and omentectomy due to ischemic bowel. initially her condition did show improvement after removal of ischemic bowel. she was weaned to extubation on . the following day she required reintubation for respiratory failure, hemodynamic instability requiring pressor support and cvvh. again she showed improvement and was extubated on . initially mrs. was appropriate even while intubated and she was last extubated on , was interactive and with appropriate mental status. on afternoon, she developed flash pulmonary edema and required reintubation. she continued to be responsive until approximately 23:30-0:00, when she was noted to have a left fixed and dilated pupil. neurology was consulted. these findings began to resolve on repeat exams and ct did not demonstrate any acute processes to explain this change. neurology continued to follow. there was a family meeting on and they decided to withdraw care. the pt. was extubated at 13:15 and expired at 16:45. the family declined an autopsy. medications on admission: coreg 25mg , vitamin b12 1000mcg daily, prozac 20mg daily, lantus 20 units hs, novolog sliding scale, levothyroxine 5mcg daily, crestor 40mg daily, norvasc 10mg daily, plavix 75mg daily, lasix discharge medications: none discharge disposition: expired discharge diagnosis: type a aortic dissection diabetes mellitus, acute renal failure chronic renal insufficiency, hypertension, h/o cva, hyperlipidemia, hypothyroidism, coronary artery disease s/p cabg , anxiety, depression past surgical history coronary artery bypass ?open cholecystectomy discharge condition: expired discharge instructions: none followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other partial resection of small intestine diagnostic ultrasound of heart insertion of endotracheal tube insertion of endotracheal tube temporary colostomy enteral infusion of concentrated nutritional substances hemodialysis hemodialysis arterial catheterization excision or destruction of peritoneal tissue other diagnostic procedures on lung or bronchus diagnoses: acidosis diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status depressive disorder, not elsewhere classified chronic kidney disease, unspecified other and unspecified hyperlipidemia anxiety state, unspecified acute respiratory failure other specified cardiac dysrhythmias cardiac arrest alkalosis intestinal infection due to clostridium difficile personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits encounter for palliative care do not resuscitate status dissection of aorta, thoracic acute edema of lung, unspecified laparoscopic surgical procedure converted to open procedure unspecified vascular insufficiency of intestine dissection of renal artery 

Answer: The patient is high likely exposed to