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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain/lightheadedness/sob/worsening fatigue major surgical or invasive procedure: cardiac catheterization aortic valve replacement (mechanical) history of present illness: 60 yo with known bicuspid aortic valve with aortic stenosis and regurgitation s/p ascending aortic repair in in . she reports exertional chest pain, orthopnea, and pnd in the past month and was referred for nuclear stress test and . nuclear stress test was normal, however echo revealed severe aortic stenosis with 0.6cm2. she is referred to dr. for evaluation for redo sternotomy/aortic valve replacement past medical history: hypertension hyperlipidemia bicuspid aortic valve osteoarthritis of hands and knees osteoporosis scoliosis colon polyps s/p ascending aortic aneurysm repair at the hospital s/ rod for scoliosis s/p hysterectomy for fibroid uterus social history: lives with:divorced, lives with sister and 15 year old adopted son; has 3 adult biological children occupation:unemployed on disability tobacco:denies etoh:denies family history: family history:nc physical exam: physical exam pulse:48 resp:16 o2 sat: 99% ra b/p right: 122/73 left: `126/75 height: 5'4" weight:172 # general:sob and very fatigued skin: dry intact heent: perrla eomi anicteric sclera; op unremarkable; dentures in place neck: supple full rom chest: lungs clear bilaterally ; well-healed sternotomy heart: rrr irregular 5/6 sem radiates throughout precordium to carotids abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema-none varicosities: none neuro: grossly intact; mae 4.5 /5 strengths; nonfocal exam pulses: femoral right: 2+ left:2+ dp right: 1+ left:1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit :murmur radiates loudly to bil. carotids pertinent results: echocardiography report , (complete) done at 11:15:53 am final referring physician information , division of cardiothoracic conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. right ventricular chamber size and free wall motion are normal. the appearance of the ascending aorta is consistent with a normal tube graft. there are simple atheroma in the descending thoracic aorta. the aortic valve is bicuspid. there is critical aortic valve stenosis (valve area <0.8cm2). the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: aortic valve replaced with 23mm mechanical valve; new valve is well seated with trace aortic regurgitation within struts, peak gradient 8mmhg. there is no aortic dissection seen. trace mitral regurgitation, no seen. preserved biventricular systolic function. these results were communicated to the surgical team at the time of exam. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by two-view chest comparison: radiograph of one day earlier. indication: pneumothorax. findings: small left apical pneumothorax is slightly decreased in size and there has been slight improvement in aeration at the lung bases. there is otherwise no substantial change since the recent radiograph. dr. approved: sun 12:06 pm 07:45am blood wbc-7.1 rbc-3.64* hgb-9.7* hct-29.6* mcv-81* mch-26.6* mchc-32.8 rdw-15.8* plt ct-162 07:45am blood pt-25.8* inr(pt)-2.5* 05:00pm blood pt-28.1* inr(pt)-2.8* 06:10am blood pt-14.9* ptt-32.4 inr(pt)-1.3* 07:45am blood glucose-95 urean-13 creat-0.8 na-141 k-3.8 cl-107 hco3-24 angap-14 07:40am blood pt-29.6* inr(pt)-2.9* brief hospital course: admitted after cardiac catheterization for preoperative evaluation. on ms. was brought to the operating room and underwent aortic valve replacement. see operative note for details. she was brought from the operating room to the icu intubated. she weaned from ventilator and was extubated without difficulty on pod#1. she had recieved iv morphine for pain and became confused. her narcotics were discontinued and her mental status cleared over the next 24hrs. her pain was well controlled on tylenol and motrin. she was started on betablockers and diuretics and couamdin for her mechanical aortic valve. crestor was resumed. she was transferred to the step down unit on pod#2. chest tubes and temporary pacing wires were removed per protocol. she was evaluated and treated by physical therpay and cleared for discharge to home on pod#5. medications on admission: crestor 20mg po daily (norvasc/olmesartan) 10/40mg po daily bystolic 10mg po daily alendronate 70 mg q sunday discharge medications: 1. alendronate 70 mg tablet sig: one (1) tablet po qsun (every sunday). disp:*4 tablet(s)* refills:*0* 2. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). tablet, delayed release (e.c.)(s) 4. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: 0.5 tablet po daily (daily) for 1 weeks. disp:*7 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 8. warfarin 2 mg tablet sig: one (1) tablet po once a day: dose will change daily for goal inr . dr. / to manage. disp:*30 tablet(s)* refills:*2* 9. outpatient lab work serial pt/inr dx: mechanical aortic valve () goal inr results to fax (managed by dr. ) 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: aortic stenosis s/p aortic valve replacement ( 23 st. mechanical) htn, hyperlipidemia, bicuspid av, osteo arthritis hands and knees, osteoporosis, scoliosis, colon polyps, s/p ascending aortic aneurysm repair , s/ rod for scoliosis , s/p hysterectomy for fibroid uterus discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with tylenol and motrin prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up 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 followup instructions: please call to schedule appointments surgeon dr. in 4 weeks primary care dr. (for dr. ) 2:45pm wound check appointment - 6 () - your nurse will schedule your inr will be checked on and results faxed to (for dr. for coumadin dosing. provider: , md phone: date/time: 1:00 provider: phone: date/time: 11:00 md procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart open and other replacement of aortic valve cardioplegia pericardiotomy transfusion of other serum transfusion of platelets diagnoses: other iatrogenic hypotension anemia, unspecified unspecified essential hypertension aortic valve disorders other and unspecified hyperlipidemia iatrogenic pneumothorax surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation osteoporosis, unspecified scoliosis [and kyphoscoliosis], idiopathic congenital insufficiency of aortic valve arthrodesis status adhesive pericarditis osteoarthrosis involving, or with mention of more than one site, but not specified as generalized, multiple sites 

Answer: The patient is high likely exposed to