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 attending: chief complaint: increase in chest discomfort with activity major surgical or invasive procedure: aortic valve replacement. coronary artery bypass grafting. ascending aortic arch replacement. history of present illness: ms. is a 77 yo woman with known aortic stensis followed by serial echocardiograms. she reports recent increase in chest discomfort with ambulation for which she was referred for acrdiac cath revealing 85-90% lm stenosis and a 90% ostial d1 stenosis. last echocardiogram in showed aortic valve area of 0.6, with a peak gradient of 100, mild tricuspid regurgitation, mild mitral regurgitation, and ejection fraction of 60%. on the day of her cardiac cath she was transferred from to for further eval and management. past medical history: hypertension. hyperlipidemia. gastroesophageal reflux disease. transient ischemic attack in and . subacute right occipital infarct (no deficit). s/p sex change operation in . former tobacco -- quit in . physical exam: neuro: grossly intact. pulmonary: lungs clear to ascultation bilaterally. cardiac: s1s2. iii/iv systolic ejection murmur. abdomen: soft, non-tender, non-distended. extremities: warm. multiple superficial varicosities. trace pedal edema. pertinent results: 09:18pm blood wbc-8.4 rbc-3.71* hgb-11.2* hct-33.2* mcv-89 mch-30.2 mchc-33.8 rdw-13.7 plt ct-216 09:18pm blood plt ct-216 09:18pm blood pt-12.7 ptt-31.4 inr(pt)-1.0 09:18pm blood glucose-112* urean-21* creat-1.1 na-140 k-4.1 cl-104 hco3-31* angap-9 09:18pm blood alt-15 ast-25 ld(ldh)-185 alkphos-56 totbili-0.2 09:18pm blood albumin-4.1 09:18pm blood %hba1c-5.8 brief hospital course: ms. was transferred to the from mwmc on s/p cardiac cath showing 2 vessel disease. she proceeded to the operating room on with dr. for an aortic valve replacement, ascending aortic arch replacement, and coronary artery bypass grafting x 2. please see or note for full details. patient was successfully weened and extubated on her operative evening. on post-operative day (pod) 1, all of her iv drip medications were discontinued and she was started on po lopressor for heart rate and blood pressure control. on pod 2, ms. was transfused with one unit of red cells for a hct of 24.6. on pod 3, her chest tubes and cardiac pacing wires were discontinued and she was transfused with an additional unit of red cells for hct of 26.8. on this same day she was transferred from the intensive care unit to the inpatient floor for ongoing recovery and rehabilitation. ms. was found to be confused secondary to narcotic use with discontinuation of these medications. a one-to-one sitter was initiated to maximize patient safety. on pod 4 she cleared some but remained slightly confused and she was started on haldol with some mental clearing. her lopressor dosing was adjusted for elevated heart rate and blood pressure. on pod 5 ms. experienced some atrial fibrillation treated with iv lopressor and increase in po lopressor dose to 100 mg twice daily. on pod 6 ms. experienced continued bursts of atrial fibrillation and her lopressor was further increased to 100 mg tid with addition of po amiodarone. on pod 7 she was started on a heparin drip and po coumadin for anticoagulation with ongoing atrial fibrillation. pod were uneventful with conversion of heart rhythm to nsr (pod 8). also ongoing haldol for mild confusion. on pod 10, ms. inr elevated to 4.8; her heparin was discontinued and her coumadin was held for two days. on pod 11, ms. bun and creatinine were elevated at 40 and 2.0. her lasix and ibuprofen were discontinued with drop to 36 and 1.6 on pod 12. on pod her inr also dropped to 2.9. mrs. was followed by physical therapy throughout her hospital stay and it was felt that she would benefit from rehabilitaion to help regain her strength prior to discharge home. medications on admission: zocor 40 daily aspirin 325 daily norvasc 2.5 daily zestril 40 daily atenolol 100 daily multiviatmin viatmin c protinix 40 daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 5. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 6. warfarin sodium 1 mg tablet sig: as directed tablet po daily (daily): target inr 2-2.5. 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. amiodarone hcl 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 1 week then 400mg qd x 1 wk then 200 mg qd. 9. warfarin sodium 1 mg tablet sig: two (2) tablet po once (once) for 1 doses. 10. haloperidol 1 mg tablet sig: one (1) tablet po tid (3 times a day). discharge disposition: extended care facility: - discharge diagnosis: status-post ascending aortic arch replacement with a #28 gelweave/avr #27 pericardial. status-post coronary artery bypass graft x 2 with lima->lad and svg->om. post-op afib. hypertension. hyperlipidemia. discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds p instructions: dr in 4 weeks dr in weeks after d/c from rehab dr in weeks after d/c from rehab procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels transfusion of packed cells continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension thoracic aneurysm without mention of rupture cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders personal history of tobacco use delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to