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: iv dye, iodine containing contrast media / avandia / capoten attending: chief complaint: dyspnea with exertion major surgical or invasive procedure: aortic valve replacement(21 porcine)coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the obtuse marginal artery, reverse saphenous vein graft to the posterior diagonal artery. history of present illness: 79 year old female with history of aortic stenosis which has been followed by serial echocardiograms. she has noted worsening exercise tolerance and dyspnea with exertion over the past year. her echocardiograms have demonstrated worsening aortic stenosis with increasing peak and mean gradients. her last echocardiogram showed an aortic valve area of 0.5cm2 with a peak gradient of 94mmhg. of note, there is evidence of severe pulmonary hypertension with her systolic pulmonary artery pressure measuring 91mmhg. given the progression and severity fo her disease, she was referred for surgical management. past medical history: aortic stenosis and coronary artery disease s/p aortic valve replacement and coronary artery bypass graft past medical history: hypertension hyperlipidemia diabetes mellitus osteoarthritis phlebitis lung cancer hiatal hernia hypthyroidism s/p right lobectomy s/p lymph node dissection in neck s/p beast lumpectomy s/p hysterectomy s/p c section s/p tonsillectomy social history: race: caucasian last dental exam: 1 year ago lives with: husband occupation: retired cigarettes: smoked no other tobacco use: denies etoh: < 1 drink/week illicit drug use: denies family history: 2 siblings with heart disease. physical exam: pulse: 74 resp: 16 o2 sat: 97% b/p right: 194/92 left: 196/88 height: 5'2" weight: 200lbs general: well-developed obese female in no acute distress using cane for walking skin: dry intact heent: perrla eomi neck: supple full rom healed neck incision chest: lungs clear bilaterally healed right thoracotomy incision heart: rrr irregular murmur grade abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema 1+ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: echocardiography report intra-op tee conclusions pre bypass the left atrium is moderately 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. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is dilated with mild global free wall hypokinesis. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened and display fibrinous degradation. there is moderate thickening of the mitral valve chordae. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is av paced. the patient is receiving milrinone and epinephrine by infusion. there is normal biventricular systolic function though poor image quality prevents complete exclusion of a focal wall motion abnormality. there is a bioprosthesis located in the aortic position. it appears well seated. the leaflets can not be seen. there is trace valvular aortic regurgitation. the peak gradients through the aortic valve range from 25 to 40 mmhg with cardiac output in the 5 liters/minute range with means in the 10 to 17 mmhg range. the effective area is in the 1.2 cm2 range, on average. the rest of valvular function is essentially unchanged. the thoracic aorta is intact after decannulation.. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:53 . brief hospital course: mrs. was a same day admit to the operating room on where she underwent an aortic valve replacement and coronary artery bypass graft. please see operative report for surgical details. in summary she had: aortic valve replacement with 21 porcine valve and coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending artery, reverse saphenous vein graft to obtuse marginal artery and reverse saphenous vein graft to posterior descending artery. her bypass time was 129 minutes with a crossclamp time of 97 minutes. she tolerated the operation well and following surgery she was transferred to the cvicu for recovery and invasive monitoring in stable condition. within 24 hours she was weaned from sedation awoke neurologically intact and extubated. 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 on pod2. chest tubes and pacing wires were discontinued per cardiac surgery protocol. the remainder of her hospital course was uneventful. she was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on post-operative day six the patient was ambulating freely, the wound was healing and pain was controlled with ultram. the patient was discharged with home physical therapy with appropriate follow up instructions. medications on admission: metformin 100mg hctz 25mg daily synthroid 50mcg daily bisoprolol-hydrochlorothiazide 2.5mg-6.25mg daily zocor 20mg daily amitriptyline 10mg twice daily aspirin 81mg daily claritin 10mg daily xanax 0.25mg daily discharge medications: 1. aspirin ec 81 mg po daily 2. levothyroxine sodium 50 mcg po daily 3. simvastatin 20 mg po daily 4. alprazolam 0.25 mg po bid:prn anxiety 5. amitriptyline 10 mg po bid 6. tramadol (ultram) 50 mg po q4h:prn pain rx *tramadol 50 mg one tablet(s) by mouth every four to six hours disp #*40 tablet refills:*0 7. metformin (glucophage) 1000 mg po bid 8. claritin *nf* 10 mg oral daily 9. acetaminophen 650 mg po q4h:prn pain, fever 10. amlodipine 10 mg po daily hold for sbp<95 and notify ho if held rx *amlodipine 10 mg one tablet(s) by mouth daily disp #*30 tablet refills:*2 11. metoprolol succinate xl 50 mg po daily rx *metoprolol succinate 50 mg 1.5 tablet(s) by mouth daily disp #*60 tablet refills:*2 12. furosemide 60 mg po bid duration: 14 days rx *furosemide 20 mg three tablet(s) by mouth two times daily disp #*84 tablet refills:*2 13. potassium chloride 20 meq po bid duration: 14 days rx *potassium chloride 20 meq 20 meq by mouth two times daily disp #*28 tablet refills:*2 14. docusate sodium 100 mg po bid discharge disposition: home with service facility: vna of discharge diagnosis: aortic stenosis and coronary artery disease s/p aortic valve replacement and coronary artery bypass grafting past medical history: hypertension hyperlipidemia diabetes mellitus osteoarthritis phlebitis lung cancer hiatal hernia hypthyroidism s/p right lobectomy s/p lymph node dissection in neck s/p beast lumpectomy s/p hysterectomy s/p c section s/p tonsillectomy discharge condition: alert and oriented x3 nonfocal ambulating, steady gait incisional pain managed with ultram incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. 1+ le edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments wound care, , phone: date/time: 10:00 surgeon: dr. date/time: 1:15 cardiologist: dr. at 3:00p please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of bronchus and lung aortic valve disorders other chronic pulmonary heart diseases other and unspecified hyperlipidemia obesity, unspecified edema body mass index 36.0-36.9, adult 

Answer: The patient is high likely exposed to