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: shortness of breath major surgical or invasive procedure: aortic valve replacement history of present illness: is an 81yo female with now symptomatic aortic stenosis, hypertension, cva, renal insufficiency, mild pulmonary hypertension deemed of acceptable risk for surgical avr pending additional studies. in the interim, she was excepted for the valve in however has elected to move forward with an open avr with dr. in early to mid . past medical history: aortic stenosis s/p aortic valve replacement past medical history: - coronary artery disease - pulmonary hypertension (pa 48/19/27) - cva/tia (no residual) - hypertension - renal insufficiency (cr 1.2) - gi bleed s/p avm cauterization - childhood asthma - glaucoma - bilateral cataracts - lower extremity varicose veins - bilateral knee replacements - bilateral carpal tunnel surgeries - bilateral bunion surgery - anal fistula repair ('s) social history: recently relocated from to live with daughter. basement room with chairlift for stairs. enjoys piano playing. family history: father deceased age 62, emphysema. mother deceased age 89, dementia. two aunts with hx cancer. brother with icd/chf, head and neck cancer. daughter and three sons. physical exam: pulse: resp: 71 sr o2 sat:93% ra b/p 155/90 general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iv/vi systolic radiating to carotids abdomen: soft non-distended non-tender bowel sounds+ extremities: warm , well-perfused edema 1+ varicosities: none neuro: grossly intact pulses: 2+ throughout carotid bruit: radiating from as pertinent results: echo: prebypass: no atrial septal defect is seen by 2d or color doppler. there is severe symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is global left ventricular systolic dysfunction. overall left ventricular systolic function is mildly depressed (lvef= 40 %). right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area ,0.5 cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. postbypass: lv systolic function is slightly improved. lvef ~45-50%. rv systolic function remians normal. there is a well seated, functioning bioprosthesis in the aortic position. there is mild peri-valvular ai. the remaining study is unchanged from prebypass. . 04:55am blood wbc-8.1 rbc-2.97* hgb-10.0* hct-29.5* mcv-99* mch-33.6* mchc-33.8 rdw-14.2 plt ct-160 04:57am blood wbc-9.4 rbc-3.09* hgb-9.9* hct-30.6* mcv-99* mch-32.1* mchc-32.4 rdw-14.3 plt ct-138* 04:55am blood glucose-103* urean-14 creat-0.9 na-137 k-4.1 cl-102 hco3-27 angap-12 04:57am blood glucose-126* urean-18 creat-0.9 na-136 k-3.5 cl-101 hco3-31 angap-8 brief hospital course: mrs. was a same day admit and brought directly to the operating room where she underwent an aortic valve replacement. please see operative note for surgical details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, lethargic but oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. lopressor was titrated up and additional antihypertensives were added for better blood pressure control. the patient was transferred to the telemetry floor for further recovery. all narcotics were stopped due to lethargy and she was on tylenol only for pain at the time of discharge and oriented x 3. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to mt. st. rehab in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. lisinopril 5 mg po daily 2. alprazolam 0.5 mg po tid:prn anxiety 3. metoprolol tartrate 25 mg po tid 4. timolol maleate 0.5% 1 drop both eyes daily 5. furosemide 20 mg po daily 6. spironolactone 12.5 mg po daily 7. latanoprost 0.005% ophth. soln. 1 drop both eyes hs 8. aspirin 81 mg po daily discharge medications: 1. aspirin ec 81 mg po daily 2. latanoprost 0.005% ophth. soln. 1 drop both eyes hs 3. lisinopril 10 mg po daily hold for sbp<100 rx *lisinopril 10 mg daily disp #*30 tablet refills:*0 4. metoprolol tartrate 25 mg po bid hold for hr < 55 or sbp < 90 and call medical provider. *metoprolol tartrate 25 mg twice a day disp #*60 tablet refills:*0 5. acetaminophen 650 mg po q6h 6. furosemide 20 mg po daily 7. spironolactone 12.5 mg po daily 8. alprazolam 0.5 mg po tid:prn anxiety rx *alprazolam 0.5 mg tid, prn disp #*30 tablet refills:*0 9. timolol maleate 0.5% 1 drop both eyes daily discharge disposition: extended care facility: mount st. discharge diagnosis: aortic stenosis s/p aortic valve replacement past medical history: - coronary artery disease - pulmonary hypertension (pa 48/19/27) - cva/tia (no residual) - hypertension - renal insufficiency (cr 1.2) - gi bleed s/p avm cauterization - childhood asthma - glaucoma - bilateral cataracts - lower extremity varicose veins - bilateral knee replacements - bilateral carpal tunnel surgeries - bilateral bunion surgery - anal fistula repair ('s) discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage edema: trace lower and upper extremity edema discharge instructions: 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 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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 **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. at 1:45p cardiologist: dr. at 1:00p please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified unspecified essential hypertension aortic valve disorders other chronic pulmonary heart diseases other and unspecified hyperlipidemia unspecified disorder of kidney and ureter personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits knee joint replacement chronic combined systolic and diastolic heart failure hypothermia not associated with low environmental temperature 

Answer: The patient is high likely exposed to