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: tuberculin,ppd,multi-puncture attending: chief complaint: shortness of breath major surgical or invasive procedure: - coronary artery bypass grafting to one vessel, aortic valve replacement (21mm st. mechanical valve) history of present illness: 65 year old female with a history of diabetes, hypertension, and known aortic stenosis-followed by serial echocardiograms- was found to be in atrial fibrillation with worsening aortic stenosis and decreased lvef of 45% during an echo on . she was told to go tho the ed and presented to osh complaining of worsening dyspnea on exertion, fatigue and lower extremity edema. cardiac cath revealed multivessel coronary disease. she was transferred to for cardiac surgery evaluation of operative candidacy for aortic valve replacement/ coronary artery revascularization. past medical history: dmii, dyslipidemia, hypertension, aortic stenosis, paf since , scarlet fever, migraines social history: last dental exam:1 year ago lives with:alone occupation:rn->med/ tobacco:denies etoh:denies family history: father +mi->deceased 75yo, mother->aaa, sister->dibetes/leukemia physical exam: pulse: 54 resp:18 o2 sat: 99% r/a b/p right:113/64 left: height: 66 weight: 270 general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmurx- sem iv/vi abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: left: dp right:2+ left:2+ pt : left: radial right: left: carotid bruit -sem transmitted right: 2+ left:2+ pertinent results: echo the left atrium is moderately dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. 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 mitral valve leaflets are moderately thickened. there is severe mitral annular calcification with moderate thickening of the valve chordae. there is mild functional mitral stenosis (mean gradient 3 mmhg) due to mitral annular calcification. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: symmetric lvh with normal global and regional biventricular systolic function. critical calcific aortic stenosis. mild calcific mitral stenosis. 04:30am blood wbc-10.1 rbc-3.50* hgb-10.8* hct-31.7* mcv-90 mch-30.9 mchc-34.2 rdw-13.9 plt ct-277 04:54am blood pt-37.4* inr(pt)-3.9* 04:30am blood glucose-142* urean-18 creat-0.6 na-135 k-3.9 cl-97 hco3-36* angap-6* brief hospital course: ms. was admitted to the on for surgical management of her coronary artery disease and aortic valve stenosis. she was worked-up in the usual preoperative manner. dental clearance was obtained. heparin was continued as she was in atrial fibrillation. she had a urinary tract infection for which ciprofloxacin was started. diabetes consult was obtained as her hemoglobin a1c was 10.8%. on , ms. was taken to the operating room where she underwent coronary artery bypass grafting to her right coronary artery and an aortic valve replacement using a 21mm st. mechanical valve. please see operative note for details. postoperatively she was taken to the intensive care unit for monitoring. on postoperative day one, she awoke neurologically intact and was extubated. she had atrial fibrillation and was placed on amiodarone. coumadin was started for her mechanical avr and atrial fibrillation. her chest tubes were removed and she was transferred to the surgical step down floor. her epicardial wires were removed. she was seen in consultation by the physical therapy service. she continued to make steady progress and was discharged to home on postoperative day eight. inr was arranged to be followed by dr. . all follow-up appointments were advised. medications on admission: lisinopril 40(1), glyburide 5(2), asa 81(1), simvastatin that she recently stopped 2' cost, vit d/calcium, prilosec 20 (1) 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. simvastatin 40 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 4. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 5. lasix 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*2* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*2* 7. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take 400mg daily for 1 week, then decrease to 200mg daily ongoing. disp:*60 tablet(s)* refills:*2* 8. zofran 4 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. disp:*30 tablet(s)* refills:*0* 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 11. coumadin 2.5 mg tablet sig: one (1) tablet po once a day: or as directed by the office of dr. . . disp:*30 tablet(s)* refills:*2* 12. outpatient lab work labs: pt/inr for coumadin for mechanical avr and atrial fibrillation goal inr first draw results to dr. at ( discharge disposition: home with service facility: , discharge diagnosis: aortic stenosis coronary artery disease diabetes dyslipidemia hypertension paroxysmal atrial fibrillation obesity discharge condition: discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg, right - healing well, no erythema or drainage. 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: provider: , md phone: date/time: 1:30 cardiologist: dr. on at 1:15pm please call to schedule appointments with your primary care dr. , in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin for mechanical avr and atrial fibrillation goal inr first draw results to dr. at ( procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve (aorto)coronary bypass of one coronary artery extraction of other tooth diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortic valve disorders personal history of tobacco use depressive disorder, not elsewhere classified atrial flutter other and unspecified hyperlipidemia 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 obesity, unspecified other specified complications of procedures not elsewhere classified accidents occurring in residential institution migraine, unspecified, without mention of intractable migraine without mention of status migrainosus dental caries, unspecified 

Answer: The patient is high likely exposed to