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: no known allergies / adverse drug reactions attending: chief complaint: shortness of breath major surgical or invasive procedure: aortic vavlve replacement (23mm mosaic ultra porcine)/ coronary artery bypass graft x2 (left internal mammary artery to left anterior descending, saphenouse vein graft to obtuse marginal)/reduction aortoplasty history of present illness: 71 year old female with hypertension began to notice significant shortness of breath toward the end of /early while on vacation. she was seen at a walk in clinic and prescribed inhalers with plans for follow up with her local md. cardiac cath showed 2v cad after echo showing aortic stenosis. referred for surgery. past medical history: hypertension chronic renal insufficiency ( baseline creat 1.5) chronic systolic heart failure aortic stenosis depressed lvef depression osteoarthritis- right ankle asthma kidney stones s/p surgery gastroesophageal reflux disease peptic ulcer disease past surgical history: s/p benign left breast lumpectomy laser surgery of right eye x 2 remote back surgery social history: lives with:husband occupation:retired tobacco:quit 8 years ago, 1-2ppdx 20years etoh:patient had been drinking 3 glasses of wine and one beer a day. she has had none in 3 weeks. family history: mother and father died from a cva, brother had cva physical exam: pulse:66 resp:14 o2 sat:97/ra b/p right:104/60 left:108/66 height:5' weight:131 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur ii/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none r pretibial incision neuro: grossly intact pulses: femoral right: dressing left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit right/left: transmitted murmur pertinent results: echo: pre-cpb:1. the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is top normal/borderline dilated. 4. right ventricular chamber size is normal. with normal free wall contractility. 5. the ascending aorta is moderately dilated. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 6. the aortic valve is bicuspid. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild (1+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric, directed toward the anterior mitral leaflet. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 8. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine briefly. av pacing, then a pacing. well-seated bioprosthetic valve in the aortic position. trivial central ai, gradient now 11 peak, 6 mean. preserved biventricular systolic function with lvef now 40 %. aortic diameter now measures 3.8 in the ascending aorta. contour of the aorta is preserved post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. 11:25am blood wbc-7.8 rbc-2.69*# hgb-8.3*# hct-24.0*# mcv-89 mch-30.7 mchc-34.4 rdw-14.2 plt ct-185 04:11am blood wbc-8.2 rbc-3.34* hgb-9.9* hct-30.1* mcv-90 mch-29.8 mchc-33.0 rdw-14.3 plt ct-207 11:25am blood pt-13.8* ptt-48.3* inr(pt)-1.2* 10:39pm blood pt-12.4 ptt-38.7* inr(pt)-1.0 12:28pm blood urean-38* creat-1.5* na-137 k-4.6 cl-108 hco3-25 angap-9 04:11am blood glucose-117* urean-33* creat-1.4* na-142 k-4.4 cl-101 hco3-33* angap-12 10:41pm blood mg-3.1* 03:13am blood calcium-9.1 phos-3.5 mg-1.8 brief hospital course: mrs. was a same day admit and on underwent surgery with dr. . please see operative note for surgical details. following surgery she was transferred to the cvicu in stable condition on titrated phenylephrine and propofol drips. later that day she was weaned from sedation, awoke neurologically intact and extubated. she was weaned from drips over next 2 days. picc placed for access on post-op day two. initially post-op she was confused but cleared slowly over couple days. chest tubes and pacing wires were removed per protocol. she was transferred to the floor on post-op day three to begin increasing her activity level. gently diuresed toward her preop weight and beta blockade titrated. she continued to make good progress and was cleared for discharge to in nh via ambulance for the safest method of transport on post-op day seven with the appropriate medications and follow-up appointments. medications on admission: atenolol - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth every morning fluticasone-salmeterol - (prescribed by other provider) - 250 mcg-50 mcg/dose disk with device - twice a day furosemide - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth every morning perphenazine-amitriptyline - (prescribed by other provider) - 2 mg-25 mg tablet - 1 tablet(s) by mouth every evening medications - otc pyridoxine - (prescribed by other provider) - 100 mg tablet - 1 tablet(s) by mouth daily vitamin e - (prescribed by other provider) - 400 unit capsule - 1 capsule(s) by mouth daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. pyridoxine 50 mg tablet sig: two (2) tablet po daily (daily). 9. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 10. vitamin e 400 unit capsule sig: one (1) capsule po daily (daily). 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 12. perphenazine 2 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 13. amitriptyline 25 mg tablet sig: one (1) tablet po hs (at bedtime). 14. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 15. metoprolol succinate 100 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po daily (daily). 16. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily). discharge disposition: extended care facility: discharge diagnosis: aortic stenosis and coronary artery disease s/p aortic valve replacement/coronary artery bypass graft x2 past medical history: hypertension depression osteoarthritis- right ankle asthma kidney stones s/p surgery gastroseophageal reflux disease peptic ulcer disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. no 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. 1:00 plaese call your pcp/cardiologist:dr. to schedule an appointment to be seen in weeks **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 other repair of aneurysm central venous catheter placement with guidance diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified thoracic aneurysm without mention of rupture asthma, unspecified type, unspecified aortic valve disorders personal history of tobacco use depressive disorder, not elsewhere classified chronic kidney disease, unspecified acute on chronic systolic heart failure other alteration of consciousness hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction osteoarthrosis, unspecified whether generalized or localized, ankle and foot 

Answer: The patient is high likely exposed to