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: zocor / percocet attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement with a 21 mm magna aortic valve bioprosthesis model coronary bypass grafting x1 with left internal mammary artery, left anterior descending coronary artery. history of present illness: this is a 63yo female who presented to outside institution with "atypical chest pain". echocardiogram in was notable for possible bicuspid aortic valve with aortic stenosis. subsequent stress testing in was abnormal. ett was stopped due to dyspnea associated with st depressions. cardiac catheterization in reportedly showed aortic root dilatation and mild obstructive coronary artery disease. her current symptoms include dyspnea on exertion, palpitations, and worsening fatigue. she denies chest pain, syncope, orthopnea, pnd and pedal edema. surgical evaluation was recommended by dr. . cardiac catheterization @ lgh: right dominant. mid lad 50%. mid lcx 40%. rca with only minor irregularities. pa mean 23mmhg. bicuspid as with trace ai. 0.9cm2 with mean 35mmhg. aortic root dilatation 4.8 centimeters. cardiac echocardiogram: lvef 60-65%. moderate to severe as. estimated at 0.85cm2 with peak/mean gradients of 70/46 mmhg. trace mr. . trace pr. ascending aorta dilated up to 4.3cm. past medical history: hypertension dyslipidemia borderline diabetes mellitus type ii gerd anxiety past surgical history: s/p tubal ligation, s/p lap chole social history: race: caucasian last dental exam: 3 months ago lives with: husband occupation: accounts payable tobacco: none since age 23 etoh: rare family history: father suffered first mi at age 48, died at 58. physical exam: pulse: 74 resp: 18 o2 sat: 98% b/p right: 130/80 left: 133/84 height: 65inches weight: 153lbs general: wdwn female in no acute distress skin: warm dry intact heent: ncat perrla eomi neck: supple full rom - no jvd chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 systolic murmur best heard at the rusb - transmitted to carotid region abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: none neuro: alert and oriented x 3. cn 2-12 grossly intact. 5/5 strength with full rom. no focal deficits noted pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 1 left: 1 carotid bruit: none pertinent results: 04:40am blood wbc-9.9 rbc-2.77* hgb-9.1* hct-25.6* mcv-93 mch-33.0* mchc-35.6* rdw-13.3 plt ct-182 04:40am blood urean-17 creat-0.8 na-139 k-4.2 cl-102 04:20am blood wbc-11.0 rbc-2.78* hgb-8.6* hct-25.0* mcv-90 mch-31.1 mchc-34.5 rdw-13.5 plt ct-133* 04:20am blood glucose-100 urean-15 creat-0.8 na-136 k-4.3 cl-102 hco3-24 angap-14 left atrium: mild la enlargement. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: normal ra size. pfo is present. left ventricle: moderate symmetric lvh. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. mildly dilated ascending aorta. mildly dilated aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. moderately thickened aortic valve leaflets. critical as (area <0.8cm2). mild (1+) ar. mitral valve: mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: very small pericardial effusion. conclusions: pre-cpb:1. the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. 2. a patent foramen ovale is present. 3. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 4. right ventricular chamber size and free wall motion are normal. 5. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is critical aortic valve stenosis (valve area <0.8cm2). mild (1+) aortic regurgitation is seen. 7. mild (1+) mitral regurgitation is seen. 8. there is a very small pericardial effusion. post-cpb: on infusion of phenylephrine. av pacing for long pr interval. well-seated bioprosthetic valve in the aortic position. no ai. peak gradient is 12 mmhg at co = 5.7 l/min. preserved biventricular systolic function. mr remains 1+. aortic contour is normal post decannulation. brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent an aortic valve replacement with a 21 mm magna aortic valve bioprosthesis and coronary bypass grafting x1 with left internal mammary artery to the left anterior descending coronary artery. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. 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. chest tubes and pacing wires were discontinued without complication. zofran was given for post operative nausea with good effect. the patient had complained of visual "floaters" and the ophthomology service was consulted. their exam revealed no acute eye process and follow up with outpatient ophthomologist was recommended. she was started on iron , folate and vitamin c with a stable hematocrit of 25 at discharge (asymptomatic). the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with services in good condition with appropriate follow up instructions. medications on admission: lipitor 20 daily, metoprolol 50mg daily, omeprazole 20mg prn, aspirin 81mg daily, tums, vitamin d discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 9. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 10. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day for 2 months. disp:*60 tablet(s)* refills:*0* 11. folic acid 1 mg tablet sig: one (1) tablet po once a day for 2 months. disp:*60 tablet(s)* refills:*0* 12. vitamin c 500 mg tablet sig: two (2) tablet po twice a day for 2 months. disp:*240 tablet(s)* refills:*0* 13. zofran 4 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: aortic stenosis coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage trace 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 approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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 surgeon: dr. on at 1:45pm cardiologist: dr on at 4:20pm please call to schedule appointments with your primary care dr. in weeks needs to schedule follow up with local ophthomologist **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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 aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia aortic valve disorders other and unspecified hyperlipidemia anxiety state, unspecified nausea alone other postprocedural status congenital insufficiency of aortic valve other specified visual disturbances other abnormal glucose 

Answer: The patient is high likely exposed to