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 is an 86-year-old female with a past medical history remarkable for hypertension, hypercholesterolemia, noninsulin dependent diabetes mellitus, who presents with increased dyspnea on exertion for the past one year. patient has noted worsening of this condition in the past two to three months with dyspnea resolving at rest. patient also had one episode of chest pain which radiated into left arm in early which resolved spontaneously at rest. baseline murmur has been noted on cardiac exam for several years. in evaluating this cardiac symptom, patient underwent a cardiac catheterization on which revealed aortic valve area of .84 and severe aortic stenosis with severe mitral regurgitation 3+. patient's right ventricular end-diastolic pressure was noted to be 18, left ventricular end-diastolic pressure 34, ejection fraction to be 62%, with left anterior descending with mild diffuse disease and right coronary artery 40% occluded. cardiac echocardiogram which was performed on suggested similar results with peak gradient of 77 and aortic valve area of .67 with mild left ventricular hypertrophy and moderate mitral regurgitation and pulmonary hypertension. given these findings, patient was referred to cardiothoracic surgery service for aortic valve replacement, as well as mitral valve replacement. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. noninsulin dependent diabetes mellitus. 4. pneumonia. 5. osteoarthritis. 6. obesity. 7. bilateral lower extremity varicosities. 8. fungal dermatitis. 9. bilateral cataracts. past surgical history: 1. thyroidectomy in . 2. cholecystectomy in . 3. uterine cancer with xrt therapy in . 4. hysterectomy in . 5. total knee replacement - bilateral. 6. left cataract surgery in . 7. bilateral vein stripings. patient's medications at home: 1. zantac 75 q.d. 2. iron q.d. 3. colace 100 q.d. 4. aspirin 81 mg q.d. 5. glyburide 1.25 q.a.m. 6. atenolol 25 mg q.d. 7. synthroid 115 mcg q.d. 8. triamterene 37.5 mg. 9. hydrochlorothiazide 25 mg q.d. 10. multivitamins. allergies: penicillin which leads to rash. family history: mother who died with breast cancer. father who died of emphysema and lung cancer. occupation: retired. currently living with husband with no prior tobacco or ethanol usage. physical examination: vital signs: temperature 98.6. pulse: 85. blood pressure 108/44. respiratory rate 18. oxygen saturation 97% on room air. head, eyes, ears, nose and throat: no evidence of cervical lymphadenopathy, sclerae are anicteric, cranial nerves ii through xii are intact. mucous membranes moist. no evidence of oral ulcers. chest: clear to auscultation bilaterally. sternotomy site without any evidence of drainage, erythema, nor click on palpation. abdomen: soft, nondistended, nontender with positive bowel sounds, no hepatosplenomegaly and no inguinal lymphadenopathy noted. extremities: mild lower extremity edema, no evidence of rash. pertinent laboratories: on , white blood cell count was 8.5, hematocrit 34.5, platelets 136,000. sodium 138, potassium 3.6, chloride 98, bicarbonate 29, bun 25, creatinine .9, glucose 69, calcium 7.5, phosphorus 3.1, magnesium 2.0. hospital course: is an 86-year-old female with a past medical history remarkable for hypertension, hypercholesterolemia, noninsulin dependent diabetes mellitus who presents with severe aortic stenosis and mitral regurgitation. for these reasons, patient underwent a successful preoperative evaluation by cardiothoracic surgery service and underwent an uncomplicated aortic valve replacement (21 mm c.e. bioprosthetic valve) and mitral valve repair (26 mm cogsgrove annuloplasty band) on . postoperatively, the patient maintained normal sinus rhythm sedated on propofol and pressure maintained with mild amount of >......<. on postoperative day number one, patient exhibited labile hemodynamics and was maintained on apaced rhythm, as well as simv ventilator setting. by postoperative day number two, the patient was transfused two units of packed red blood cells and extubated with discontinuation of pacer, since patient maintained normal sinus rhythm. at this time, chest tubes were also removed without incident. on postoperative day number three, patient was initiated on po lopresor, as well as lasix for diuresis and patient was transferred to the floor since no further evidence of labile blood pressure nor respiratory instability were noted. by postoperative day number four, patient was evaluated by the physical therapy service to determine whether the additional rehabilitation service would be required prior to patient returning back home. the evaluation yielded the conclusion that discharge to rehabilitation would provide the best environment for quick recovery. by postoperative day number six, on , the decision was made to discharge the patient to a rehabilitation facility. by this time, cardiac medications were properly re-titrated. condition of discharge: good. discharge status: to a rehabilitation facility. discharge diagnoses: 1. status post aortic valve replacement (21 mm c.e. bioprosthetic valve). 2. mitral valve repair (26 mm cogsgrove annuloplasty band). discharge medications: 1. albuterol nebulizer solution q. 6 hours prn wheeze. 2. atenolol 75 mg po q.d. 3. dilaudid 2-4 mg po q. 4-6 hours prn pain. 4. lasix 40 mg po q.d. times seven days. 5. after the initial seven days, patient is to be revaluated by a physician who will determined whether further diuretic will be necessary. patient is also to take potassium replacement 40 meq po b.i.d. during the duration of above lasix administration. 6. protonix 40 mg po q.d. 7. captopril 6.25 mg po t.i.d. 8. levothyroxine sodium 115 mcg po q.d. 9. glyburide 1.25 mg po b.i.d. 10. aspirin 325 mg po q.d. follow-up: 1. the patient is to follow-up with dr. in seven days. 2. patient is to follow-up with dr. in four weeks. , m.d. dictated by: medquist36 d: 08:40 t: 15:19 job#: procedure: insertion of intercostal catheter for drainage extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft annuloplasty diagnoses: pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases iatrogenic pneumothorax mitral valve insufficiency and aortic valve stenosis surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to