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: hmg-coa reductase inhibitors (statins) / compazine / oxycodone hcl/acetaminophen / morphine attending: chief complaint: exertioanl angina, doe, fatigue major surgical or invasive procedure: avr (19mm st-) history of present illness: 61 yo f with known as and recent increase in symptoms. past medical history: ms, r breast ca-s/p lumpectomy/xrt-completed , glucose intollerance, dyslipidemia, hashimoto thyroiditis, as. social history: works in or booking at no tobacco rare etoh family history: nc physical exam: hr 62 rr 14 bp 123/68 well appearing f in nad lungs ctab heart rrr 3/6 sem radiation to carotids abdomen benign extrem warm, no edema, 2+ pulses t/o no varicosities pertinent results: 04:20am blood wbc-5.4 rbc-2.75* hgb-8.6* hct-26.1* mcv-95 mch-31.5 mchc-33.1 rdw-14.2 plt ct-394 04:20am blood pt-24.9* inr(pt)-2.4* 10:25am blood pt-24.6* ptt-32.9 inr(pt)-2.4* 06:25am blood pt-22.7* ptt-89.8* inr(pt)-2.2* 12:14am blood pt-14.5* ptt-57.7* inr(pt)-1.3* 04:00pm blood pt-12.8 ptt-40.9* inr(pt)-1.1 04:20am blood plt ct-394 04:20am blood glucose-101 urean-13 creat-0.8 na-133 k-3.9 cl-98 hco3-31 angap-8 echocardiography report , (complete) done at 9:19:46 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 61 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: avr icd-9 codes: 786.05, 440.0, 424.1, 424.0 test information date/time: at 09:19 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% to 60% >= 55% aorta - ascending: 2.8 cm <= 3.4 cm aortic valve - peak velocity: *4.3 m/sec <= 2.0 m/sec aortic valve - peak gradient: *56 mm hg < 20 mm hg aortic valve - mean gradient: 51 mm hg aortic valve - lvot pk vel: 0.74 m/sec aortic valve - lvot diam: 1.9 cm aortic valve - valve area: *0.5 cm2 >= 3.0 cm2 findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. severely thickened/deformed aortic valve leaflets. severe as (aova <0.8cm2). mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. right ventricular chamber size and free wall motion are normal. 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 severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. before final separation from bypass, the tissue valve was tested and found to have unacceptably high regurgitation associated with the right cusp. the aorta was re-clamped and the valve inspected. tried to wean again, and again too much ai at the right cusp. finally re-clamped and placed a mechanical valve. post-cpb: a mechanical aortic valve is in place. no ai, no peri-valvular leak. mean gradient = 11. trace mr. r systolic fxn. aorta intact. other parameters as pre-bypass. brief hospital course: she was transferred from mwmc to cardiac surgery. she was cleared for surgery by dental. she was taken to the operating room on where she underwent an avr. she was transferred to the icu in stable condition. she was extubated later that same day. she was given 48 hours of vancomycin since she was in the hospital preoperatively. she was started on coumadin for her mechanical valve.she was transfused 1 unit for hct 24 with oliguria and hypotension. she continued to require a neo gtt. her chest tubes had air leaks and were dc'd on pod #3. she was weaned from her neo and transferred to the floor. she had svt and was seen by electrophysiology. she was started on amiodarone. her inr was therapeutic and she was ready for discharge home. pre-discharge xray showed a moderate left effusion. thoracentesis for 500 cc bloody fluid was performed. post-tap xray was improved and she was ready for discharge home. coumadin will be followed by the heart center coumadin clinic. medications on admission: arimidex1, atenolol 50 hs, asa 81', trazadone prn, rhinocort, zetia 10', protonix 40', hctz, niaspan 1500', norvasc 5', meloxican 15', mirapex 0.25', diasynenide, lipitor 5', ambien prn. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. pramipexole 0.25 mg tablet sig: one (1) tablet po daily (). 6. anastrozole 1 mg tablet sig: one (1) tablet po daily (). 7. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 10. ferrous gluconate 300 mg (35 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 11. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 12. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*0* 13. amiodarone 200 mg tablet sig: two (2) tablet po twice a day. 14. warfarin 2 mg tablet sig: 1.5 tablets po once (once) for 2 days: 3 mg and and then check inr with results to mwmc coumadin clinic. disp:*60 tablet(s)* refills:*0* 15. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 16. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 5 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: as now s/p avr ms, r breast ca-s/p lumpectomy/xrt-completed , glucose intolerance, dyslipidemia, hashimoto thyroiditis discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions,creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. p instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery thoracentesis open and other replacement of aortic valve reopening of recent thoracotomy site transfusion of packed cells transfusion of other serum transfusion of platelets transfusion of coagulation factors continuous intra-arterial blood gas monitoring diagnoses: other iatrogenic hypotension anemia, unspecified unspecified pleural effusion atrial fibrillation personal history of malignant neoplasm of breast other and unspecified hyperlipidemia mechanical complication due to heart valve prosthesis multiple sclerosis urinary complications, not elsewhere classified personal history of irradiation, presenting hazards to health oliguria and anuria other abnormal glucose unspecified pruritic disorder congenital stenosis of aortic valve chronic lymphocytic thyroiditis 

Answer: The patient is high likely exposed to