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: ibuprofen / vicodin attending: chief complaint: doe/cp major surgical or invasive procedure: aortic valve replacement (21mm pericardial) and replacement of ascending aorta (22mm gelweave graft) history of present illness: 52 yo f with bicuspid aortic valve known since age 22. preogressive doe, palpitations and dizziness over past years, worse in last 6 months. past medical history: as, ibs, gout, ^chol, colon polyps, melanoma l forearm-node ng, arthritis social history: works in human resources approx 1 drink/day denies tobacco family history: mother deceased from mi @ 55 physical exam: nad lungs ctab heart rrr sem abdomen benign extrem warm, no edema 1+ pp pertinent results: 07:10am blood wbc-6.9 hct-28.6* plt ct-201 02:09pm blood wbc-10.1 rbc-3.31* hgb-10.7* hct-30.6* mcv-93 mch-32.4* mchc-34.9 rdw-14.7 plt ct-147*# 11:45am blood wbc-7.1 rbc-2.94*# hgb-9.5*# hct-27.8* mcv-95 mch-32.2* mchc-34.1 rdw-14.2 plt ct-102*# 07:10am blood plt ct-201 11:45am blood pt-13.4* ptt-43.7* inr(pt)-1.2* 02:06am blood pt-11.4 ptt-27.0 inr(pt)-1.0 07:10am blood glucose-88 urean-16 creat-0.7 na-138 k-4.2 cl-101 hco3-30 angap-11 01:15pm blood urean-16 creat-0.5 cl-113* hco3-25 chest (pa & lat) 11:51 am two views. comparison with . there is interval development of streaky density at the lung bases consistent with subsegmental atelectasis. in addition, the left costophrenic angle is blunted consistent with a small effusion. there may be a small right effusion posteriorly as well. the patient is status post median sternotomy and avr as before. mediastinal structures are unchanged. degenerative arthritic changes are again demonstrated in the spine. impression: subsegmental atelectasis. small pleural effusion. status post avr. echo pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. there is moderate symmetric left ventricular hypertrophy. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the ascending aorta is-moderately dilated. 5. the aortic valve is bicuspid. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). no aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. post-bypass: pt removed from cardiopulmonary bypass on phenylephrine drip and av paced. 1. a mechanical prosthetic valve in noted in the aortic valve position. the valve is well seated and with no paravalvular leaks or regurgitation. mean gradient across the valve is 19mmhg. 2. due to prosthetic material in ascending aorta, it was difficult to accurately visualize the ascending aorta. 3. biventricular function is well preserved. 4. aortic contours are intact post-decannulation. brief hospital course: she was taken to the operating room on where she underwent a replacement of ascending aorta and pericardial avr. she was trasnferred to the icu in critical but stable condition. she was extubated later that same day. she was transferred to the floor on pod #1. she did well postoperatively, her pacing wires and chest tubes were pulled without incident and she had no complications, and she was ready for discharge on pod #4. medications on admission: lipitor, allopurinol, flonase, elestat, lorazepam discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. fluticasone 50 mcg/actuation aerosol, spray sig: one (1) spray nasal (2 times a day). disp:*qs qs* refills:*0* 5. 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* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 10 days. disp:*40 capsule, sustained release(s)* refills:*0* 9. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: aortic stenosis s/p avr dilated ascedning aorta s/p replacement ascending aorta irritable bowel syndrome elevated cholesterol colon polyps seasonal allergies discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule all appointments dr in 4 weeks () please call for appointment dr in 1 week () please call for appointment dr in weeks please call for appointment wound check appointment 2 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels diagnoses: unspecified essential hypertension thoracic aneurysm without mention of rupture gout, unspecified aortic valve disorders other and unspecified hyperlipidemia congenital insufficiency of aortic valve personal history of malignant melanoma of skin 

Answer: The patient is high likely exposed to