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: oxycodone attending: chief complaint: aortic aneurysm major surgical or invasive procedure: 1. replacement of ascending aorta and hemiarch using a 28- mm dacron tube graft and deep hypothermic circulatory arrest. the graft data is the following. it is a vascutek gelweave graft, catalog number , lot number , serial number . 2. cormatrix reconstruction of the pericardium. 3. epiaortic duplex scanning. history of present illness: this is a 59 year old female well known to our service who first presented in with diagnosis of ascending aortic aneurysm. aneurysm repair was delayed at that time due to a colovesicular fistula causing chronic urinary tract infections. in she underwent placement of left-sided ureteral stent, sigmoid colectomy, takedown of colovesicular fistula, mobilization of splenic flexure and diverting loop ileostomy. in she underwent successful ileostomy takedown. she is now recovering nicely from surgery without recurrent urinary tract infections, and presents again for surgical evaluation. currently, she remains very functional and denies chest and back pain, dyspnea on exertion, orthopnea, pnd, palpitations, pedal edema, and cough. past medical history: aortic aneurysm hypertension dyslipidemia colonic polyps renal insufficiency 1.45 history of ischemic cva (transient visual disturbance) copd/asthma uterine cancer right lung nodule, likely carcinoma giant cell arteritis/polymyalgia rheumatica (tx with steroids- currently on prednisone 5mg daily) obesity elevated hgba1c (while on steroids) hypothyroidism history of + ppd elevated crp colovesicular fistula and diverticulitis past surgical history: s/p total abd hysterectomy s/p temporal artery biopsy s/p tonsillectomy s/p placement of left-sided ureteral stent, sigmoid colectomy, takedown of colovesicular fistula, mobilization of splenic flexure and diverting loop ileostomy s/p ileostomy takedown social history: lives with: alone occupation: clinical social worker, directs an inpt detox unit tobacco: recently quit in . 40yrs, approx ppd etoh: none since ; previously drinks per day family history: mother with abd aortic aneurysm. both parents with cvas physical exam: pulse: 71 resp: 16 o2 sat: 98% bp: 128/84 height: 237 lbs weight: 66 inches general: obese female in no acute distress skin: dry intact heent: perrla eomi anicteric sclera;op unremarkable neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur-none abdomen: soft non-distended non-tender bowel sounds + ;npo hsm, obese extremities: warm , well-perfused edema-none varicosities: mild b spider veins neuro: grossly intact; nonfocal exam; mae strengths pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit right: none left:none pertinent results: conclusions pre-bypass: left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is severely dilated. the sinotubular junction is intact without effacement. the descending thoracic aorta is moderately dilated. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no pericardial effusion. post cpb: 1. preserved -ventricular systolic function 2. unchanged valvular structure and function 3. tube graft visualized in ascending aortic position. 4. intact descending thoracic aorta 06:30am blood wbc-7.3 rbc-3.01* hgb-9.2* hct-27.2* mcv-90 mch-30.6 mchc-33.9 rdw-16.3* plt ct-250 05:00am blood wbc-10.0 rbc-2.86* hgb-9.0* hct-26.4* mcv-92 mch-31.3 mchc-33.9 rdw-16.8* plt ct-199 06:30am blood glucose-129* urean-39* creat-1.2* na-132* k-4.0 cl-93* hco3-26 angap-17 05:00am blood glucose-113* urean-37* creat-1.2* na-134 k-4.3 cl-98 hco3-26 angap-14 06:30am blood mg-2.1 05:00am blood calcium-9.5 phos-3.7 mg-2.1 brief hospital course: the patient was brought to the operating room on where the patient underwent ascending aorta and hemiarch replacement. 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, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. she returned to the cvicu overnight for hypotension and oliguria. this improved with hydration, and she returned to the telemetry floor. cipro was started for positive urinalysis, urine culture returned negative and antibiotics were discontinued. 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 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: albuterol mdi prn, atenolol 50mg daily, buproprion 150 twice daily, prozac 40mg daily, flovent 110 2p twice daily, hctz 25mg daily, avapro 300mg daily, levothyroxine 250 daily, prednisone 5mg daily, spiriva 18 daily, aspirin 325 mg daily, mv discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. bupropion hcl 150 mg tablet extended release sig: one (1) tablet extended release po bid (2 times a day). 4. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 6. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 9. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 10. levothyroxine 125 mcg tablet sig: two (2) tablet po daily (daily). 11. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 12. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 1 weeks. disp:*28 tablet extended release(s)* refills:*0* 13. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 1 weeks. disp:*14 tablet(s)* refills:*0* 14. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: aortic aneurysm hypertension dyslipidemia colonic polyps renal insufficiency 1.45 history of ischemic cva (transient visual disturbance) copd/asthma uterine cancer right lung nodule, likely carcinoma giant cell arteritis/polymyalgia rheumatica (tx with steroids- currently on prednisone 5mg daily) obesity elevated hgba1c (while on steroids) hypothyroidism history of + ppd elevated crp colovesicular fistula and diverticulitis past surgical history: s/p total abd hysterectomy s/p temporal artery biopsy s/p tonsillectomy s/p placement of left-sided ureteral stent, sigmoid colectomy, takedown of colovesicular fistula, mobilization of splenic flexure and diverting loop ileostomy s/p ileostomy takedown discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema 1+ discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office , at 11:30 surgeon dr. on at 2:45pm cardiologist: on at 3:10pm in (pt already had this appointment please call to schedule the following: primary care dr. , k. 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 resection of vessel with replacement, thoracic vessels diagnoses: other iatrogenic hypotension polymyalgia rheumatica long-term (current) use of steroids acute kidney failure, unspecified unspecified acquired hypothyroidism thoracic aneurysm without mention of rupture hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified personal history of malignant neoplasm of other parts of uterus other and unspecified hyperlipidemia other diseases of lung, not elsewhere classified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits obesity, unspecified chronic obstructive asthma, unspecified oliguria and anuria personal history of colonic polyps 

Answer: The patient is high likely exposed to