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: history of present illness: mrs. is an 86 year old woman with a known history of aortic stenosis with a previous hospital admission significant for congestive heart failure. recently, she became more symptomatic especially more short of breath and more fatigued. she had an echocardiogram on , which showed a left ventricular ejection fraction of 65%, aortic stenosis with a peak gradient of 42, severe mac, one plus mitral regurgitation and trivial tricuspid regurgitation. she also had a persantine mibi in , which revealed mild ischemia of the apical segment of the inferior wall and a mild fixed defect of the apical segment of the anterior wall. her dyspnea significantly progressed since then. most recently, an echocardiogram showed aortic gradient of 68, and left ventricular hypertrophy with good left ventricular function. the patient was consequently referred for cardiac catheterization for further evaluation. past medical history: 1. congestive heart failure. 2. aortic and mitral valve disease. 3. hypertension. 4. hyperlipidemia. 5. diabetes mellitus. 6. glaucoma. 7. peripheral vascular disease. 8. history of cerebrovascular disease with mild right sided weakness. 9. legally blind. past surgical history: 1. cholecystectomy. 2. partial hysterectomy. 3. status post left femoral-popliteal bypass graft. allergies: no known drug allergies. medications: 1. enteric-coated aspirin 325 mg q. day. 2. lasix 20 mg p.o. twice a day. 3. atenolol 25 mg p.o. q. day. 4. cozaar 50 mg p.o. q. day. 5. plendil 10 mg p.o. twice a day. 6. lipitor 10 mg p.o. q. day. 7. micronase 5 mg p.o. q. day. 8. xalatan one drop in each eye q. day. 9. timoptic q. a.m. both eyes. 10. caltrate. 11. multivitamins. laboratory studies; white blood cell count 7.4, hematocrit 11, platelets 240. sodium 132, potassium 4.8, bun 26, creatinine 0.8, glucose 113, magnesium 1.9. summary of hospital course: given symptomatic disease, the patient underwent cardiac catheterization on . the findings were 30% distal stenosis of the lmca, 60 to 70% stenosis of the left anterior descending, mild disease of the left circumflex and 95% stenosis of the right coronary artery. on , the patient underwent aortic valve replacement with 21 millimeter pericardial valve, c-e and coronary artery bypass grafting times two, left internal mammary artery to the left anterior descending, and saphenous vein graft to patent ductus arteriosus. the patient tolerated the procedure well. there were no complications. please see the full operative report for details. she was transferred to the intensive care unit in stable condition. she remained intubated. she remained in sinus rhythm. given the hematocrit of 23, she was transfused with two units of blood. she continued to make adequate urine. the patient was extubated on postoperative day one which she tolerated well. she remained arousable and responsive. her heart rate and blood pressure remained stable. physical therapy was consulted which followed the patient throughout her hospitalization. the patient was transferred to the floor on postoperative day three. she was noted to be wheezing and appeared mildly fluid overloaded on examination. a chest x-ray showed atelectasis and right sided pleural effusion. she was diuresed further with good response. respiratory care was called which gave the patient nebulizer treatments with good response. she was encouraged to use incentive spirometry. the patient was also noted to be slightly hypertensive and her medications were adjusted accordingly. a repeat chest x-ray showed improvement in both lung fields. the patient was discharged to the facility on . condition on discharge: good. discharge disposition: facility. discharge diagnoses: 1. coronary artery disease status post coronary artery bypass grafting times two. 2. aortic disease status post aortic valve replacement. 3. noninsulin dependent diabetes mellitus. 4. hypertension. 5. hypercholesterolemia. 6. peripheral vascular disease. 7. congestive heart failure. discharge medications: 1. cozaar 50 mg p.o. q. day. 2. lopressor 12.5 mg p.o. twice a day. 3. lasix 40 mg p.o. twice a day times 14 days, then 20 mg p.o. twice a day. 4. potassium chloride 20 meq p.o. twice a day with lasix. 5. aspirin 325 mg p.o. q. day. 6. percocet one to two tablets p.o. q. four to six hours p.r.n. pain. 7. albuterol and atrovent nebulizers p.r.n. 8. glyburide 5 mg p.o. q. day. 9. insulin (regular) sliding scale p.r.n. 10. lipitor 10 mg p.o. q. day. 11. micronase. 12. xalatan one drop to both eyes q. day. 13. timoptic q. a.m. both eyes. 14. caltrate. 15. multivitamin. 16. plendil 10 mg p.o. twice a day. discharge instructions: 1. the patient is to follow-up with her surgeon, dr. , in approximately four weeks. 2. the patient is to follow-up with dr. , her cardiologist, in approximately two to three weeks. 3. the patient is to follow-up with dr. , her primary care physician, approximately one to two weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders peripheral vascular disease, unspecified unspecified glaucoma other and unspecified hyperlipidemia late effects of cerebrovascular disease, hemiplegia affecting dominant side 

Answer: The patient is high likely exposed to