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: flagyl / sulfa (sulfonamide antibiotics) attending: chief complaint: abdominal pain major surgical or invasive procedure: replacement of ascending and hemiarch aorta with a 30-mm gelweave dacron graft. history of present illness: mrs. reports several days of abdominal bloating, increased gas and developed abdominal pain, back pain and vomiting. she went to an outside hospital thinking she had a flair of her crohn's disease. a cta was done which showed a type a aortic disection. she was transferred to for surgical repair of her dissection. past medical history: hypertension hypothyroid crohn's disease bell's palsey-r facial droop s/p colostomy and reversal for crohn's s/p open cholecystectomy s/p c-section s/p hysterectomy social history: she reports smoking one pack per day. family history: unable to obtain due to emergent nature of dissection physical exam: pulse:122 resp:18 o2 sat:96% b/p right:109/68 on esmolol and nipride left: skin: dry intact heent: perrl eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade _unable to assess abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _none____ varicosities: none neuro: grossly intact-except r facial droop pulses: femoral right:2+ left:2+ dp right:tr left:tr pt :tr left:tr radial right: 2+ left:2+ pertinent results: , (complete) done at 5:45:19 am final referring physician information , , status: inpatient dob: age (years): 79 f hgt (in): 62 bp (mm hg): / wgt (lb): 143 hr (bpm): bsa (m2): 1.66 m2 indication: emergent aortic dissection icd-9 codes: 441.00, 441.2 test information date/time: at 05:45 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2012aw01-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.2 cm <= 5.6 cm left ventricle - ejection fraction: 40% to 45% >= 55% aorta - sinus level: 3.4 cm <= 3.6 cm aorta - sinotubular ridge: 2.8 cm <= 3.0 cm aorta - ascending: *4.2 cm <= 3.4 cm aorta - arch: *3.2 cm <= 3.0 cm aorta - descending thoracic: *3.4 cm <= 2.5 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec aortic valve - lvot diam: 2.0 cm findings left atrium: dilated la. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: mild symmetric lvh with normal cavity size. mild global lv hypokinesis. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. mildly dilated ascending aorta. mildly dilated aortic arch. mildly dilated descending aorta. complex (>4mm) atheroma in the descending horacic aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: small to moderate pericardial effusion. stranding is visualized within the pericardial space c/w organization. no echocardiographic signs of tamponade. general comments: the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally post-bypass data conclusions pre-bypass: the left atrium is dilated. 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. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. an echodense mass 0.5 cm x 0.5 cm is seen outside the left atrial appendage floating the pericardial effusion (suggestive of strands?). no mass seenn in the left atrial appendage. this was confirmed before sync cardioversion for the afib after induction. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild global left ventricular hypokinesis (lvef = 40 %). overall left ventricular systolic function is mildly depressed (lvef= 40 %). lv function seem to be after initial stabilization of hemjodynamics. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. an echodense mobile density is seen in the ascending aorta from the st junction at the right coronary cusp going across and extending into the distal ascending aorta with hematoma suggestive of aortic dissection. in the visualized portion of aortic arch and descending thoracic aorta, this dissection is not seen. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is a small to moderate sized pericardial effusion. stranding is visualized within the pericardial space c/w organization. there are no echocardiographic signs of tamponade. post-bypass: normal rv systolic function. lvef 45% (mild global lv systolic dysfunction). intact thoracic aorta with the intact graft visualized. minimal mr . 04:35am blood wbc-9.3 rbc-4.30 hgb-10.7* hct-32.9* mcv-77* mch-24.8* mchc-32.4 rdw-18.0* plt ct-301 04:35am blood na-137 k-4.6 cl-99 04:32am blood glucose-86 urean-24* creat-0.9 na-139 k-4.0 cl-102 hco3-32 angap-9 02:15am blood wbc-12.4* rbc-4.51 hgb-10.9* hct-32.6* mcv-72* mch-24.1* mchc-33.3 rdw-14.9 plt ct-335 02:15am blood glucose-133* urean-27* creat-1.1 na-130* k-4.5 cl-97 hco3-22 angap-16 02:15am blood alt-11 ast-12 ck(cpk)-85 alkphos-113* amylase-29 totbili-0.3 brief hospital course: on ms. was brought emergently to the operating room and underwent repair of her type a aortic dissection. this procedure was performed by dr. . please see the operative note for details. she tolerated the procedure well, weaned from bypass on neo synephrine and propofol and was transferred in critical but stable condition to the surgical intensive care unit. she was given amiodarone for post-operative atrial fibrillation, which quickly resolved. by post-operative day one she was extubated and tolerated beta-blockade. her chest tubes were removed. on the following day she was transferred to the surgical step down floor. amiodarone was discontinued secondary to her history of thyroid dysfunction and she remained in a sinus rhythm. her epicardial wires were removed on pod 3. mesalamine was resumed and no asa. physical therapy worked with her and she was diuresed towards her preoperative weight. she was transferred to in on for further recovery prior to returning home. medications on admission: colace 100mg daily levothyroxine 50mcg daily lisinopril 10mg daily mesalamine 800mg three times a day discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 2. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 3. mesalamine 400 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po tid (3 times a day). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 5. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever or pain. 10. lasix 20 mg tablet sig: one (1) tablet po once a day for 6 days: until at pre-op weight. 11. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day for 7 days: please check k+ . discharge disposition: extended care facility: healthcare center - discharge diagnosis: type a aortic dissection emergency repair of type a dissection hypertension crohn's disease hypothyroidism bell's palsy s/p colon resection for crohn's s/p cholecystectomy s/p hysterectomy 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 edema: trace 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 1:00pm in the medical office building . cardiology- please have your primary care physician recommend one please call to schedule appointments with: 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** procedure: extracorporeal circulation auxiliary to open heart surgery resection of vessel with replacement, thoracic vessels diagnoses: other iatrogenic hypotension tobacco use disorder unspecified pleural effusion unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation atrial flutter regional enteritis of unspecified site osteoporosis, unspecified dissection of aorta, thoracic acute pericarditis, unspecified 

Answer: The patient is high likely exposed to