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: codeine / morphine / penicillins / shellfish attending: chief complaint: chest pain major surgical or invasive procedure: aortic valve replacement (21mm st. tissue) history of present illness: 70 year old female with known aortic stenosis who compained of chest pain and was sent to er by her pcp. was transferred from to for cardiac catheterization. she was found to have no coronary artery disease and is now being referred to cardiac surgery for an aortic valve replacement. the patient's original surgery was post-poned because she sustained a left tibial fracture due to a fall on , requiring surgery, leaving her non-weight bearing for 6 weeks. she presents for pre-admission testing today. she reports that her fatigue has increased in the previous month. past medical history: aortic stenosis s/p avr gerd asthma depression left tibial fracture left medial malleolus fracture past surgical history: uterine surgery retinal surgery left total knee replacement tonsillectomy plates/screws to left tibia and medial malleolus social history: lives with: husband contact: (husband) phone # occupation: retired cigarettes: smoked no yes current smoker, 5 cigarettes/day x30 years, **intended to quit prior to admission** other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: premature coronary artery disease- brother with cabg at age 50 and died at age 70 of "heart disease", one sister had a stent, pacer and chf, two sisters had physical exam: admission: pulse:63 resp:16 o2 sat:96/ra b/p right:144/76 left:137/93 height:5'7" weight:225 lbs general: nad, appears slightly younger than stated age skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade iii/vi systolic abdomen: soft non-distended non-tender bowel sounds + well healed incision of lower abdomen s/p uterine suspension extremities: warm , well-perfused edema :1+ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left:+2 dp right: +2 left:+2 pt : np left:np edema radial right: +2 left:+2 discharge: vs t 98.7 bp 119/67 hr 73sr rr 20 o2sat 96%-ra wt 108.1 (pre-op 102kg) gen nad neuro a&o x3-nonfocal exam chest rrr, no murmur. sternum-stable, incision cdi pulm cta-bilat, slightly diminished bases abdm soft, nt/nd/+bs ext warm, well perfused. 2+ bilat le edema pertinent results: intra-op tee: conclusions pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room. postbypass: the patient is a paced on low dose phenylephrine infusion. there is a well seated bioprosthetic valve in the aortic position. there is no ar. peak & mean gradients across the valve are 37mmhg & 20mmhg, respectively with a cardiac output of 4.18. the remaining valves are unchanged. biventricular function is unchanged. the aorta remains intact. radiology report chest (pa & lat) study date of 5:34 pm final report: as compared to the previous radiograph, the right internal jugular vein catheter has been removed. the size of the cardiac silhouette is unchanged. presence of a small left pleural effusion is better seen on the lateral than on the frontal radiograph. there also is a probably atelectatic opacity adjacent to the effusion. no pulmonary edema, no evidence of pneumonia. dr. . 06:45am blood wbc-8.3 rbc-2.94* hgb-8.3* hct-26.2* mcv-89 mch-28.2 mchc-31.7 rdw-14.1 plt ct-253 05:00am blood wbc-9.0 rbc-2.91* hgb-8.1* hct-25.7* mcv-89 mch-27.8 mchc-31.4 rdw-13.9 plt ct-198 06:45am blood urean-18 creat-0.8 na-136 k-4.0 cl-99 04:49am blood glucose-109* urean-18 creat-0.8 na-135 k-4.2 cl-102 hco3-24 angap-13 06:45am blood mg-2.0 brief hospital course: the patient was a same day admission to the operating room on where the patient underwent aortic valve replacement with dr. . please see the operative note for details, in summary she had: an aortic valve replaceemnt with a 21mm tissue valve. her bypass time was 52 minutes with a crossclamp time of 40 minutes. she tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. she woke from anesthesia neurologically intact and extubated on the day of surgery. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable. beta blockers were initiated and the patient was begun on diuretics aiming toward diuresing to the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued per cardiac surgery protocol. the patient was evaluated by the physical therapy service for assistance with strength and mobility. the remainder of the hospital course was uneventful. by the time of discharge on pod 5 the patient was ambulating, the wound was healing and pain was controlled with vicodin. the patient was discharged in good condition with appropriate follow up instructions. medications on admission: diclofenac sodium 75mg prn flovent 110mcg aerosol prn omeprazole 20mg daily lasix 20mg daily lexapro 10mg daily centrum multivitamin daily caltrac daily fish oil daily vicodin 5/500 q4-6h prn pain *pt prefers vicodin for post-op pain control, as she does not tolerate percocet well* plavix - last dose:none discharge medications: 1. 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:*2* 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 5. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day. disp:*60 tablet extended release(s)* refills:*2* 6. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain/temp. 8. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 9. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 10. lasix 40 mg tablet sig: one (1) tablet po twice a day: 40mg x 10 days then decrease to 40mg qd. disp:*60 tablet(s)* refills:*1* discharge disposition: home with service facility: discharge diagnosis: aortic stenosis s/p avr gerd asthma depression left tibial fracture left medial malleolus fracture past surgical history: uterine surgery retinal surgery left total knee replacement tonsillectomy plates/screws to left tibia and medial malleolus discharge condition: alert and oriented x3 nonfocal ambulating with assistance, gait steady sternal pain managed with vicodan sternal incision - healing well, no erythema or drainage edema 2+ bilat lower etremity 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 one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **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: wound check at cardiac surgery office phone: date/time: 10:15 surgeon dr. phone: date/time: 1:15 cardiologist dr. at 1:30p please call to schedule the following: primary care dr. , r. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: esophageal reflux tobacco use disorder asthma, unspecified type, unspecified aortic valve disorders depressive disorder, not elsewhere classified family history of ischemic heart disease knee joint replacement personal history of traumatic fracture 

Answer: The patient is high likely exposed to