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 / ciprofloxacin / wellbutrin / morphine attending: chief complaint: descending thoracic aortic aneursym major surgical or invasive procedure: - left thoracotomy, replacement of descending aorta with completion of elephant trunk. history of present illness: thgis 64 year old female iswell known to the cardiac surgical service having undergone four vessel bypass with an ascending aorta and total arch replacement in . she did well at that surgery and has fully recoivered. she returns now for completion of her elephant trunk with resection of the descending thoracic aneurysm. she has had some mild back pain over the past several weeks. past medical history: s/p replacement of aortic arch and coronary artery bypass grafting ascending and descending thoracic aortic aneursym coronary artery disease hypertension history of mitral valve prolapse history of rheumatic fever diabetes mellitus social history: current smoker, 1ppd for last 16 years. admits to infrequent etoh, no history of abuse. retired, lives with her husband. family history: father with coronary disease before age 55 physical exam: admission: vss, afebrile.awake and alert lungs- clear cor- rsr at 88. bp 130/84 bilat abdomen- benign extremeties- warm, good pulses, no edema sternum - well healed. stable sternum. pertinent results: echo 1. the left atrium is dilated. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. an ascending aortic and arch graft is seen from previous eurgery. 5. the descending thoracic aorta is markedly dilated. the aortic wall is thickened consistent with an intramural hematoma. 6. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 8. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the result post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenhylephrine. 2. biventricular function is preserved 3. a descending aortic graft is seen 04:05am blood wbc-4.6 rbc-3.60* hgb-10.4* hct-30.0* mcv-84 mch-28.9 mchc-34.6 rdw-16.0* plt ct-230# 04:05am blood glucose-86 urean-13 creat-0.4 na-137 k-3.4 cl-97 hco3-32 angap-11 04:05am blood wbc-4.6 rbc-3.60* hgb-10.4* hct-30.0* mcv-84 mch-28.9 mchc-34.6 rdw-16.0* plt ct-230# 03:00am blood pt-13.3 ptt-32.2 inr(pt)-1.1 04:05am blood glucose-86 urean-13 creat-0.4 na-137 k-3.4 cl-97 hco3-32 angap-11 , r f 64 radiology report chest (pa & lat) study date of 9:43 am , csurg fa6a 9:43 am chest (pa & lat) clip # reason: evaluate effusion/atx medical condition: 64 year old woman with s/p replacement of descending thoracic aorta via left thoracotomy with completion of elephant trunk reason for this examination: evaluate effusion/atx final report history: status post replacement of the descending aorta via left thoracotomy. findings: comparison with the study of , there are persistence postoperative changes. there is some increasing opacification at the left base with an area of opacification in the upper left zone as well. some of this could represent loculated areas of pleural fluid. the right lung remains clear and the right jugular catheter is again in place. dr. approved: fri 2:20 pm brief hospital course: mrs. was admitted to the on for surgical management of her descending thoracic aneurysm. she was taken directly to the operating room where she underwent a left thoracotomy with replacement of her descending aorta and completion of the elephant trunk. please see operative note for details. she required multiple transfusions with multiple blood products for postoperative bleeding. she weaned forbypason levophed and neo synephrine. the aorta was not cross clampled. postoperatively she was taken to the intensive care unit for monitoring. she developed an intense erythema and angioedema at the end of the operation, etiology unclear. she was treated with 24 hours of steroids and antihistamines with resolution. she was allowed to slowly wean from sedation,diuresed and mean bp kept above 100 for cerebral perfusion. the lumbar drain was utilized to keep her icp about 15 cm hg. she awoke and was ultimatley extubated on postoperative day three. she was neurologically intact and her lumbar drain was removed. pressors were weaned off and blood pressure was kept at normotensive levels. her beta blockade, statin and aspirin were resumed. ms. had significant postoperative pain and a paravertebral catheter was placed for pain control with good effect. this was later removed without incident. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. she was later transferred to the step down unit for further recovery. she continued to work daily with physical therapy. ms. continued to make steady progress, ace inhibitors were begun, as preop, and and beat blockade was resumed at preoperative doses. was discharged to home in atable condition on postoperative day 8. she will follow-up with dr. , her cardiologist and her primary care physician as an outpatient. medications on admission: lipitor 20', metformin 500", lisinopril 40', lopressor 75"',hctz 25', ativan 0.5 prn, asa 81' discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for 1 months. disp:*50 tablet(s)* refills:*0* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours) for 2 weeks. disp:*14 tablet, delayed release (e.c.)(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:*2* 4. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. lorazepam 0.5 mg tablet sig: tablet tablet po three times a day as needed for anxiety. disp:*30 tablet(s)* refills:*0* 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* 7. metoprolol tartrate 100 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 8. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 11. potassium chloride 20 meq packet sig: one (1) packet po daily (daily) for 7 days. disp:*7 packet(s)* refills:*0* 12. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day: begin after last dose of lasix ( ). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease ascending aortic aneurysm s/p cabgx4 & total arch replacement descending thoracic aneurysm hypertension hyperlipidemia mitral valve prolapse h/o rheumatic fever diabetes mellitus discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. please shower daily. no bathing or swimming for 1 month. 5) no lifting more than 10 pounds for 10 weeks. 6) no driving for 1 month and off all narcotics. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in 2 weeks. please follow-up with dr. in weeks. 6 wound clinic in 2 weeks scheduled appointments: , md phone: date/time: 11:40 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery resection of vessel with replacement, thoracic vessels diagnoses: thrombocytopenia, unspecified tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other and unspecified hyperlipidemia hemorrhage complicating a procedure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified accident angioneurotic edema, not elsewhere classified other and unspecified mitral valve diseases thoracoabdominal aneurysm, without mention of rupture other symptoms involving nervous and musculoskeletal systems 

Answer: The patient is high likely exposed to