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: history of present illness: the patient had an echocardiogram in of this year which showed critical aortic stenosis and preserved left ventricular function with a valvular area of 0.6 cm sq, peak gradient of 60 and mean gradient of 40. in of this year also she had a persantine myoview that showed a relative decreased uptake within the anteroseptal wall. she achieved 65% of the maximum heart rate. this represents a submaximal stress test. however, the patient had been experiencing left sided pain below her shoulder radiating to her back and shortness of breath over the last several months with activity. she has these symptoms after walking about a ?????? block or doing any housework too quickly. she has not experienced these symptoms at rest. she denies orthopnea, edema and lightheadedness. past medical history: significant for aortic stenosis, diabetes mellitus, renal calculi, fibrocystic breasts, trigger finger, carpal tunnel syndrome. past surgical history: includes a nephrectomy secondary to renal stones in , a hand operation and a hysterectomy in . allergies: biaxin. medications: at home include glucotrol 10 mg , glucophage 1,000 mg , zestril 20 mg q d, aspirin 81 mg q d and estratab .625 mg two times per week. social history: lives with her year old mother and works in the cafeteria at the elementary school. laboratory data: prior to admission white count 6.0, hematocrit 34.7, platelet count 265,000, sodium 139, potassium 5.1, chloride 102, co2 24, bun 26, creatinine 1.5, glucose 218. physical examination: on admission, vital signs 61 inches, weight 139 lbs, heart rate 65, blood pressure 145/79 on the left and 129/82 on the right. neck is supple, no lymphadenopathy. lungs clear. heart, s1 and s2 with a 4/6 systolic murmur. abdomen soft, nontender, no hepatosplenomegaly. extremities are warm, right femoral and dorsalis pedis pulse left femoral and dorsalis pedis pulse, no bruits. hospital course: the patient was admitted to the cardiac catheterization lab. please see the cath lab for full details. in summary, the cath report showed aortic stenosis with an aortic valve area of .6 cm sq, a mean gradient of 50, preserved ventricular function with an ef of 50% and an rca with an 80% mid vessel stenosis. following her catheterization, cardiothoracic surgery was consulted. she was accepted for aortic valve replacement and on she was brought to the operating room for an aortic valve replacement and a cabg times one. please see the or report for full details. in summary, the patient underwent an aortic valve replacement with a #21 pericardial valve and a cabg times one with a saphenous vein graft to the rca. she tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer the patient had a right arterial line, a swan ganz catheter, ventricular and atrial pacing wires, two mediastinal and a left pleural chest tube. her mean arterial pressure was 88, her cvp was 12. she was a-paced at a rate of 90 beats per minute and she had propofol infusing at 20 mcg/kg/minute. the patient did well in the immediate postoperative period, however, after several hours in the cardiothoracic intensive care unit she became hypotensive with increasing chest tube output and she was brought back to the operating room for re-exploration of her mediastinal bleeding at which time it was found that she had a coronary sinus injury. she tolerated the re-exploration well and was brought from the operating room back to the cardiothoracic intensive care unit, after which she remained hemodynamically stable without any further bleeding. she did, however, remain intubated throughout the evening and on postoperative day #1 her sedation was discontinued, however, she was slow to awaken from her anesthesia and sedation and she remained intubated throughout the day on postoperative day #1. on postoperative day #2 the patient was more responsive and she was weaned from the ventilator to c-pap, however, she was still somewhat sluggish and therefore she remained intubated throughout postoperative day #2. in addition, the patient remained hemodynamically stable, however, somewhat hypertensive and she was begun on nipride to control her blood pressure. throughout postoperative day #3 the patient continued to be somewhat sedate, therefore she stayed on c-pap from a respiratory standpoint with good gas exchange. hemodynamically she remained stable but somewhat hypertensive and therefore remained on nipride. captopril was added to her regime of nipride to try to control her blood pressure. on postoperative day #5 the patient was extubated, her lopressor and captopril were increased, allowing us to wean her from her nipride and by postoperative day #6 her nipride was off and she was transferred to far 6 for continuing postoperative care and cardiac rehabilitation. over the next several days the patient remained hemodynamically stable, her activity level was increased on a daily basis with the assistance of physical therapy and on postoperative day #8 it was decided that the patient would be appropriate to discharge to home with the assistance of vna for nursing assessment and physical therapy on the following day. discharge condition: stable. discharge diagnosis: 1. aortic stenosis, status post avr with a #21 pericardial valve. 2. coronary artery disease, status post coronary artery bypass grafting with an svg to the rca. 3. diabetes mellitus. 4. renal calculi. 5. fibrocystic breasts. 6. carpal tunnel syndrome. 7. status post nephrectomy. 8. status post hand operation. 9. status post hysterectomy. discharge medications: metoprolol 75 mg , aspirin 81 mg q d, captopril 50 mg tid, glucotrol 10 mg , glucophage 1,000 mg , potassium chloride 20 meq q d times 10 days, lasix 20 mg q d times 10 days and regular insulin sliding scale. physical exam at time of discharge, vital signs, temperature 96.6, heart rate 81, sinus rhythm, blood pressure 132/70, respiratory rate 18, o2 saturation 96% on room air. alert and oriented times three, moves all extremities, follows commands. respiratory clear to auscultation bilaterally. heart sounds, regular rate and rhythm, s1 and s2 with no murmur. sternum is stable. incision with steri-strips, open to air, clean and dry. abdomen soft, non distended, nontender with positive bowel sounds. extremities are warm and well perfused with 1+ pedal edema bilaterally. her left upper thigh incision is closed with steri-strips, open to air, clean and dry, moderate hematoma at the left upper thigh incision. weight preoperatively is 62.8 kg, at discharge is 65 kg. lab data, hematocrit 38.4, potassium 4.1, bun 32, creatinine 1.1. the patient is to be discharged to home. she is to have follow-up with dr. in weeks, follow-up with dr. also in weeks and follow-up with dr. in one month. she is also to be seen in the clinic in two weeks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization angiocardiography of left heart structures other and unspecified coronary arteriography (aorto)coronary bypass of one coronary artery incision of mediastinum open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hematoma complicating a procedure aortic valve disorders hemorrhage complicating a procedure congenital insufficiency of aortic valve 

Answer: The patient is high likely exposed to