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: past medical history: osteoporosis of the hip and spine. right breast cancer, status post radiation therapy approximately six years prior. mitral valve prolapse, which was diagnosed as a teenager. past surgical history: right ovarian oophorectomy, right partial mastectomy with two subsequent tissue removal surgeries, and a left leg benign tumor removal. meons: medications when she first saw dr. were as follows: 1. actonel every week. 2. caltrate every week 3. fish oil every day. allergies: she has no known drug allergies. social history: she is a former graphic designer, lives with her husband and two children in . she quit smoking approximately 18 years prior after having smoked one pack per day for seven years. she admitted to a glass of wine approximately every two weeks. she used marijuana remotely in college. no use of other recreational drugs. radiographic studies: ct scan of the chest on showed a 5 cm ascending aorta, small pulmonary av malformation in the right lobe, in the medial basal segment, and descending aorta within normal limits. please refer to the final report. preoperative laboratory data: sodium 137, potassium 3.8, chloride 106, co2 24, bun 14, creatinine 0.7 with a blood sugar of 120. her lfts were normal. pt 12.5, ptt 33, and inr of 1.0. white count 4.8, hematocrit 35.2 with a platelet count of 196,000. preoperatively, her ekg showed sinus bradycardia at 57 with left anterior hemiblock. physical examination: her height is 5 feet 6 inches with a weight of 138 pounds. on exam, she appeared to be well- hydrated, appearing younger than her stated age with no rashes or lesions. her pupils were equally round and reactive to light and accommodation. her eoms were intact with normal buccal mucosa and dentition. her neck was supple with no jvd, lymphadenopathy, or thyromegaly. her chest was clear bilaterally without wheezing, rhonchi, or rales. her heart was bradycardiac in a regular rhythm with positive s1 and s2 sounds and a grade 2 to 3 over 6 systolic murmur heard best at the lower sternal border and third intercostal space. her abdomen was soft, nontender, and nondistended with normal bowel sounds. no hepatosplenomegaly. her extremities were warm and well perfused with no edema or cyanosis. she had no obvious varicosities. her neurologic exam was grossly intact without any motor or sensory deficits. she had 2 plus bilateral femoral pulses, 2 plus bilateral dp pulses, 1 plus bilateral pt pulses, and 2 plus bilateral radial pulses without any carotid bruit. hospital course: on the day of admission, , she underwent ascending aortic aneurysm repair with a 26 mm gelweave tube graft and an aortic valve replacement with a 21 mm regent mechanical valve. she was transferred to the cardiothoracic icu in stable condition on a propofol drip at 20 mcg per kg per minute and a nitroglycerin drip at 0.5 mcg per kg per minute. on postoperative day one, she had been extubated overnight. she had increased chest tube output, was receiving platelets and ddavp. she had an echocardiogram to rule out any cardiac tamponade from bleeding. she was in sinus rhythm at 78 with a cardiac index of 2.79. she received three units also of packed red blood cells and two units of platelets for repletion. her hematocrit was 30 with a white count of 12.1 and an inr of 1.0. postoperative labs also included a white count of 12.1, a platelet count of 356,000, sodium 140, potassium 4.8, chloride 110, co2 24, bun 11, and creatinine 0.5 with a blood sugar of 101. she was on an insulin drip at 4 for mildly elevated blood sugars. she was responsive. her heart was in regular rate and rhythm. her lungs were clear bilaterally. her abdominal exam and incisional exams were benign. her extremities were warm and well perfused without any edema. she continued on perioperative kefzol antibiotic coverage and was encouraged to use her incentive spirometer and to get out of bed by the nurses. she was stable. her diet was advanced. her swan was discontinued. on postoperative day two, her hematocrit drifted back down to about 26.1. she had increased mediastinal contour on chest x- ray, but remained clinically stable. she was in sinus rhythm in the 90s with a blood pressure of 97/53, saturating 99 percent. she received one additional packed red blood cell transfusion. her white count dropped slightly to 10.2. her creatinine remained stable at 0.5. she began her aspirin regimen as well as beta-blockade and lasix diuresis. her diet was advanced and her electrolytes repleted as needed. on postoperative day three, her chest tubes had been discontinued as was her foley catheter. her inr was 1.3, as she now had begun her coumadin aiming for a therapeutic dose for her mechanical aortic valve. she had decreased breath sounds at the bases. her heart was regular in rate and rhythm. her sternum was stable. her pacing wires were discontinued, and she continued on lopressor beta-blockade as well as lasix diuresis, and she was transferred out to the floor. she was seen by case management for clearance for vna home services. she was also evaluated by the physical therapy team. on postoperative day four, she was doing well without any complaints of shortness of breath, chest pain, or palpitations. she had a t-max of 100.7 degrees, heart rate rose slightly to 102 with a blood pressure of 97/66. she was saturating at 93 percent on room air. she remained in a sinus rhythm with good pulses and minimal peripheral edema. she was doing well and ambulating. her anticoagulation continued to be underway with her inr rising that morning slightly to 1.4. she continued with a 3 mg coumadin dose and started iron for some mild anemia. her hematocrit dropped slightly to 24.6 with the plan to let her be discharged home once her inr crossed 1.5 and she was able to do the stairs. she continued to ambulate with physical therapy and was doing very well and feeling better with each passing day. onperative day five, she had no new complaints and was doing very well. she reported having been woken up once during the night with a thumping sensation in her chest, but telemetry showed nothing other than some pvcs. she had no dyspnea, chest pain, or other palpitations. she had good pulses throughout. she remained in sinus rhythm without any jvd or peripheral edema. her sternotomy wound was healing well. she had positive bowel sounds. her inr rose to 1.5 and hematocrit of 25.0. her potassium remained stable at 4.3 and also her creatinine at 0.5. discussion was had as to whether or not to increase her coumadin dosing as she was not rising fast enough on a 3 mg dose, to let the decision be made by dr. . the patient was also seen again by case management to plan for her discharge to home. the patient did have some diarrhea on the during the evening and was given some trazodone also to help her feel a little bit more comfortable. she had a small nosebleed and complained a little bit of some cramping without a bowel movement. at 03:30 in the morning on the she was in sinus rhythm with the exception of quick bursts of sinus tachycardia. please refer to the follow-up note listed on telemetry. the patient had no complaints and was sleeping at the time. her blood pressure at that time was 112/45 and was saturating 98 percent on room air with a heart rate of 71 and a respiratory rate of 18 and was afebrile. on, postoperative day seven, the patient was discharged to home in stable condition with instructions to follow up with her primary care physician, . , in approximately one to two weeks; her cardiologist, dr. , in approximately one to two weeks; and to follow up with dr. in the office at approximately three to four weeks for her postoperative surgical visit. discharge diagnoses: status post aortic valve replacement and replacement of ascending aorta with gelweave graft. osteoporosis of the hip and spine. right breast cancer with radiation therapy and right partial mastectomy. mitral valve prolapse. status post right oophorectomy. status post removal of benign left leg tumor. discharge medications: 1. lasix 40 mg q.a.m and 20 mg q.p.m. through with instructions for the patient to call dr. , her primary care physician, to discuss whether it needed to be continued. 2. potassium chloride 20 meq p.o. b.i.d., also to be discussed with dr. for dosing past . 3. zantac 150 mg p.o. b.i.d. 4. niferex 150 mg p.o. q.d. 5. folic acid 1 mg p.o. q.d. 6. multivitamin 1 tablet p.o. q.d. 7. vitamin c 500 mg p.o. b.i.d. 8. tylenol with codeine no. 3, 1 to 2 tablets p.o. p.r.n. q.4 h. for pain. 9. lopressor 12.5 mg p.o. b.i.d. 10. coumadin 3 mg p.o. q.d. for 3 days, then inr check on with inr and coumadin dosing management by dr. . discharge disposition: the patient was discharged to home in stable condition on . , m.d. procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve resection of vessel with replacement, thoracic vessels transfusion of packed cells diagnoses: anemia, unspecified unspecified essential hypertension thoracic aneurysm without mention of rupture congenital insufficiency of aortic valve 

Answer: The patient is high likely exposed to