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: codeine attending: chief complaint: increasing dyspnea on exertion major surgical or invasive procedure: cardiac catheterization aortic valve replacement (. medical epic biocor tissue valve), coronary artery bypass grafting x 1 with reverse saphenous vein graft to the right coronary artery history of present illness: ms. is an 84 year-old woman with history of atrial fibrillation (not anticoagulated), aortic stenosis, chf, copd, and pulmonary hypertension. for the past several months she has been having increasing symptoms of dyspnea on exertion. in , she was admitted to with a chf exacerbation in the context of an infection (pt unsure of nature of infection). she received iv lasix and was discharged on po lasix. two weeks ago, ms. the np who works with her cardiologist (dr and dr ) who recommended that she stop lasix given absence of peripheral edema, and she planned to take it prn which she has not required. although she was previously able to ambulate through the grocery store without difficulty, her current baseline respiratory status is notable for dyspnea on exertion half-way across a room in her home, causing her to sit down and rest. she has previously led a very active lifestyle. because her symptoms were thought to be in large part secondary to her as and limiting her adls, she was referred for catheterization in anticipation of possible avr. she denies any recent chest pain, light-headedness, or syncope. she further denies claudication, le edema, orthopnea, or pnd. . she was taken for cath on demonstrating an 80% ostial rca lesion and valve area 0.5 cm2. after the case the patient developed bleeding from groin with hypotension 60s systolic, hr 40s - received fluids and atropine. after this her sbp rose into the 130s with hr 70s. she was sent to the ccu for observation overnight. past medical history: meniere's disease leukemia in treated with chemotherapy myelodysplastic syndrome copd paroxsymal atrial fibrillation - she did not know of this diagnosis. denied ever taking coumadin. aortic stenosis with valve area 0.7 cm2 pulmonary hypertension hemorrhoidectomy tonsillectomy appendectomy gerd chronic diarrhea frequent urination previous uti's degenerative disc disease social history: ms. alone in ma. she recently had a visiting nurse health agency for three weeks after her hospitalization in . her contact person in her stepson ; his home number is . the patient still drives. she has bilateral hearing aides. she occasionally uses a cane when she is out of her house and has to go some distances. family history: mother died at 103 of old age. father died with stomach ca. physical exam: vs: t= 94.6, bp= 143/79, hr=85, rr= 16, o2 sat=92% general: appropriate, pleasant elderly woman lying flat on her back heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp 7 cm cardiac: normal pmi, irregular, harsh 4/6 systolic murmur heard best at rusb lungs: lungs clear anteriorly. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. dp pulses intact bilaterally. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: preop labs 10:12pm urine color-yellow appear-clear sp -1.037* 10:12pm urine blood-mod nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 10:12pm urine rbc-* wbc-0-2 bacteria-occ yeast-none epi-0-2 03:50pm hct-29.7* 12:45pm glucose-98 urea n-26* creat-1.0 sodium-136 potassium-3.6 chloride-106 total co2-22 anion gap-12 12:45pm alt(sgpt)-14 ast(sgot)-24 alk phos-68 amylase-73 tot bili-0.5 dir bili-0.1 indir bil-0.4 12:45pm albumin-4.0 calcium-8.8 cholest-113 12:45pm %hba1c-5.5 12:45pm wbc-3.4* rbc-2.91* hgb-9.3* hct-29.3* mcv-101* mch-32.1* mchc-31.9 rdw-17.6* 12:45pm plt smr-normal plt count-344# 12:45pm pt-14.7* ptt-83.8* inr(pt)-1.3* discharge labs 04:55am blood wbc-7.8 rbc-3.21* hgb-9.9* hct-28.8* mcv-90 mch-30.7 mchc-34.2 rdw-17.5* plt ct-213 04:55am blood plt smr-normal plt ct-213 lplt-2+ 02:57am blood pt-16.1* ptt-39.9* inr(pt)-1.4* 04:55am blood glucose-106* urean-20 creat-1.1 na-136 k-4.5 cl-102 hco3-26 angap-13 cardiac catheterization: 1. coronary angiography in this right dominant system demonstrated single vessel coronary artery disease. the lmca had no angiographically apparent disease. the lad and the lcx had no angiographically significant stenosis. the rca had a 90% ostial calcified stenosis, and supplied small pda and pl arteries. the distal rca before the crux appears to be a good target for bypass. 2. resting hemodynamics revealed normal right atrial and right ventricular filling pressures with mean ra pressure of 6 mmhg and end-diastolic rv pressure of 5 mmhg. there was mild pulmonary arterial hypertension with mean pa pressure of 26 mmhg and elevated pulmonary vascular resistance of 150 dynes-sec/cm5. the left ventricular filling pressure was slightly elevated with mean pcw pressure of 17 mmhg. there was no evidence of mitral stenosis. severe aortic stenosis was present, with a peak aortic gradient of 66 mmhg, mean gradient of 49 mmhg, and estimated aortic valve area of 0.59 cm2. the cardiac output was normal at 4.8 l/min. there was no evidence of a left-to-right shunt based on oxygen saturation data. carotid u/s: right ica stenosis <40%. left ica stenosis <40% ekg: sinus at 75 bpm, nl axis, 1st degree av block, no st-t wave changes echo: pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no prolapse of flailing leaflets. there is no pericardial effusion. dr. was notified in person of the results on ms. at 8am before incision. post_bypass: patient on infusion of epinephrine 0.04 mcg/kg/min, mild rv and global lv hypokinesis. lvef 45%. there is a bioprosthesis in the native aortic position with stable and well functioning leaflets. thoracic aorta is intact. there is minimal mr. brief hospital course: ms. is an 84 year-old woman with aortic stenosis, recent admission to outside hospital for chf/flash pulmonary edema with subsequent ongoing shortness of breath, now s/p catheterization on demonstrating 90% ostial rca lesion and 0.5cm2. as mentioned in the hpi, she was hypotensive with bleeding post-cath requiring fluids and atropine. ct abdomen done en route to the ccu did not show any signs of retroperitoneal bleeding. cardiac surgery was consulted and she underwent pore-operative work-up which included echo, carotid u/s, vein mapping and usual lab studies. while awaiting surgery she was medically managed. on she was brought to the operating room where she underwent a coronary artery bypass x 1 and aortic valve replacement. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. post-operatively she required large amount of fluid resuscitation, transfusion, and pressors for bleeding and hypotension. repeat echo was performed and ruled out tamponade. on post-operatively day one she was weaned off sedation, awoke neurologically intact and extubated. post-operative day two her chest tubes were removed and she was transferred to the telemetry floor for further care. epicardial pacing wires were removed on post-op day three. the remainder of her post-op course was unremarkable and she worked with physical therapy for strength and mobility. on post-op day four she was discharged to rehab facility with appropriate follow-up appointments. medications on admission: coreg 3.125 mg tablet , epogen 40,000 units sq bimonthly, folic acid 1 mg tablet daily qhs, combivent 90 mcg 2 puffs qid, meclizine 25 mg tablet , simvastatin 20 mg tablet qhs, multivitamin tablet daily discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. meclizine 25 mg tablet sig: one (1) tablet po twice a day as needed for dizziness. 3. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed for shortness of breath. 7. epogen 40,000 unit/ml solution sig: one (1) injection injection every other wednesday. 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 11. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. 13. aspirin 81 mg tablet, chewable sig: 0.5 tablet, chewable po daily (daily). 14. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. discharge disposition: extended care facility: life care center of discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 1 severe aortic stenosis s/p aortic valve replacement chronic diastolic congestive heart failure ef 55% chronic obstructive pulmonary disease past medical history: meniere's disease, leukemia in treated with chemotherapy, myelodysplastic syndrome, atrial fibrillation, pulmonary hypertension, gastroesophageal reflux disease, chronic diarrhea, previous uti's, degenerative disc disease, cva found by mri in , anemia, bilateral cataracts, s/p tonsillectomy, s/p appendectomy, s/p hemorrhoidectomy 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: dr. (cardiac surgeon) in 4 weeks phone: dr. (cardiology) in weeks phone: dr. (primary care) in weeks phone: procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases hemorrhage complicating a procedure other and unspecified coagulation defects chronic diastolic heart failure anemia in neoplastic disease m?ni?re's disease, unspecified unspecified leukemia, in remission 

Answer: The patient is high likely exposed to