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: hydrochlorothiazide / demerol attending: chief complaint: shortness of breath, decreased exercise tolerance major surgical or invasive procedure: mitral valve replacement(27mm mosaic porcine) and two vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending, vein graft to pda). history of present illness: mrs. is a 76 year old female with worsening shortness of breath and decreased exercise tolerance. echocardiogram in showed moderate to severe mitral regurgitation with an lvef of 40%. there was evidence of pulmonary hypertension with a pasp aroung 40mmhg. subsequent cardiac catheterization revealed severe three vessel coronary artery disease and confirmed severe mitral regurgitation. there was mild systolic ventricular dysfunction, with an lvef around 42%. pasp was estimated at 60mmhg. based upon the above, she was referred for cardiac surgical intervention. past medical history: congestive heart failure peripheral vascular disease bilateral renal artery stenosis - s/p bilateral stenting hypertension hypercholesterolemia history of seizure anemia history of atrial fibrillation history of lymphoma, s/p chemotherapy - no recurrence migraine headaches hysterectomy tonsillectomy history of sciatica social history: married. lives with husband and has 5 children. 1 glass of wine per night. she does not smoke. family history: denies any significant history physical exam: vs: 64 14 151/60 5'8" 149lbs gen: nad skin: unremarkable heent: eomi, perrl, nc/at op benign neck: supple, from -jvd chest: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd, +bs ext: warm, well-perfused -edema, lateral ble varicosities neuro: a&o x 3, mae, non-focal pertinent results: - echo: pre-bypass: 1. the left atrium is dilated. no spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. there is mild to moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild global left ventricular hypokinesis with somewhat worse hypokinesis of the apical segment. overall left ventricular systolic function is mildly depressed (lvef= 40 %). given the degree of mitral regurgitation, intrinsic left ventricular function is likely more depressed. 4. the right ventricular cavity is mildly dilated. there is mild global right ventricular free wall hypokinesis with more severe apical hypokinesis. 5. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. trace aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. there is mild prolapse of the anterior mitral valve leaflet tip and slight retraction of the posterior leaflet. there is moderate to severe (3+), mostly central, mitral regurgitation. 8. the tricuspid valve leaflets are mildly thickened. 8.there is a trivial pericardial effusion. post-bypass: the patient is receiving epinephrine by infusion. 1. right ventricular systolic function is improved. the apical segment may still be mildly hypokinetic. 2. left ventricular systolic function is also improved. ef now about 50%. no obvious focal defects. 3. there is a bioprosthetic valve in the mitral position. it is well seated with normal leaflet function. there is trace perivalvular mitral regurgitation. the maximum gradient across the valve is 13 mm hg with a mean of 6 mm hg. 4. aortic contours post-decannulation are intact. cxr: small improvement in right apical pneumothorax. persistent left lower lobe atelectasis. 02:51pm blood wbc-9.2# rbc-2.83* hgb-9.2* hct-26.9* mcv-95 mch-32.7* mchc-34.3 rdw-14.2 plt ct-142* 05:20am blood wbc-7.4 rbc-2.73* hgb-8.5* hct-24.5* mcv-90 mch-31.4 mchc-34.9 rdw-15.9* plt ct-157 02:51pm blood pt-13.9* ptt-42.6* inr(pt)-1.2* 05:20am blood pt-12.3 ptt-24.8 inr(pt)-1.1 02:51pm blood urean-14 creat-0.6 cl-109* hco3-24 06:35am blood glucose-126* urean-27* creat-0.8 na-132* k-4.6 cl-99 hco3-28 angap-10 05:20am blood urean-14 creat-0.6 k-4.1 02:33am blood calcium-8.1* phos-4.0 mg-2.5 brief hospital course: ms. was a same day admit after undergoing all pre-operative work-up prior to admission. on day of admission she was brought directly to the operating room where she underwent a coronary artery bypass graft and mitral valve replacement. please see operative report for surgical details. following surgery she was transferred to the csru for invasive monitoring in stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. beta blocker and diuretics were initiated following patient being weaned from inotropes. she was gently diuresed towards her pre-op weight. cxr on post-op day one revealed a right pneumothorax. her hct trended down and on post-op day two was found to be 20.7. she was transfused two units of blood with an adequate rise to almost 29. she appeared stable and was transferred to the sdu for further management on post-op day two. chest tubes and epicardial pacing wires were removed per protocol. she did have a mild to moderate right-sided pneumothorax after chest tube removal. this appeared to diminish by time of discharge. over the next several days she remained stable and slowly improved without complications. she worked with physical therapy for strength and mobility. on post-op day five she appeared to be doing well and was discharged home with vna services and the appropriate follow-up appointments. medications on admission: aspirin 325mg qd, zocor 20mg qd, labetolol 400mg , prazosin 1mg qd, lisinopril 40mg qd, trileptal 300mg qam and 600mg qpm, mvt, calcium plus d 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. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 3. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours). disp:*60 packet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*50 tablet, delayed release (e.c.)(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 8. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*40 tablet(s)* refills:*2* 9. oxcarbazepine 600 mg tablet sig: 0.5 tablet po qam (once a day (in the morning)). disp:*50 tablet(s)* refills:*2* 10. oxcarbazepine 600 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). disp:*50 tablet(s)* refills:*2* 11. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft mitral regurgitation s/p mitral valve replacement pmh: congestive heart failure, peripheral vascular disease, bilateral renal artery stenosis - s/p bilateral stenting, hypertension, hypercholesterolemia, history of seizure, anemia, history of atrial fibrillation, history of lymphoma, s/p chemotherapy - no recurrence discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt 2 in 1 week for wound check and to have urinalysis performed to check for resolution of positive ua previously procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of mitral valve with tissue graft transfusion of packed cells continuous intra-arterial blood gas monitoring diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation other convulsions peripheral vascular disease, unspecified personal history of other lymphatic and hematopoietic neoplasms iatrogenic pneumothorax personal history of colonic polyps 

Answer: The patient is high likely exposed to