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: this 48-year-old white female had a history of severe mitral regurgitation prior to mitral valve repair in . she now presents with increasing mitral regurgitation and has felt fatigued since surgery. she denies significant shortness of breath, palpitations, or dyspnea on exertion. her most recent echocardiogram revealed 2+ mr and an ef of 25%. she had a cardiac catheterization which showed normal coronaries. an echocardiogram in showed moderate lae, 2+ mr, 1+ tr, 1+ , ef of 20% to 25%, borderline pulmonary hypertension, and a normal ascending aorta. she is now admitted for redo sternotomy, avr, and mvr. past medical history: significant for a history of mitral regurgitation, history of chf, history of hypercholesterolemia, history of cardiomyopathy, history of left arm tendinitis, status post pneumonia in , status post mitral valve repair with a st. ring in , status post bone spur removal, status post vaginal cyst removal, and status post tubal ligation. her last dental exam was , and she was cleared by dental. medications on admission: levbid 0.375 mg p.o. b.i.d., 180 mg p.o. daily, lisinopril 2.5 mg p.o. daily, aspirin 325 mg p.o. daily, amiodarone 200 mg p.o. daily, wellbutrin 150 mg p.o. daily, coreg 12.5 mg p.o. daily, lipitor 20 mg p.o. daily, vitamin e 200 international units p.o. daily, flaxseed oil, calcium plus d, ambien 10 mg p.o. p.r.n., oxycodone p.r.n., ibuprofen p.r.n. allergies: she is allergic to penicillin (she gets hives), sulfa (she gets hives), and percocet (she gets gi upset, nausea, and vomiting). family history: significant for coronary artery disease. social history: she lives with her husband and 2 children and works as for an ambulance company. she has a 45- pack-year history of smoking and quit in . she drinks alcohol minimally. review of systems: her review of systems is remarkable for tendinitis in the left arm and shoulder and occasional pedal edema. physical examination on admission: she is a well-developed white female in no apparent distress. vital signs were stable, afebrile. heent exam was normocephalic and atraumatic. extraocular movements were intact. the oropharynx was benign. the neck was supple. full range of motion. no lymphadenopathy or thyromegaly. the carotids were 2+ and equal bilaterally without bruits. the lungs were clear to auscultation and percussion. she had a well-healed sternotomy scar. cardiovascular exam revealed a regular rate and rhythm with a holosystolic murmur. the abdomen was soft and nontender with positive bowel sounds. no masses or hepatosplenomegaly. the extremities were without clubbing or cyanosis. she had trace bilateral lower extremity edema. neurologic exam was nonfocal. hospital course: she was admitted, and on she underwent a redo sternotomy with an aortic valve replacement with a 21-mm st. regent supraannular aortic valve and a mitral valve replacement with a 27-mm st. jude valve. cross- clamp time was 115 minutes. total bypass time was 150 minutes. she was transferred to the csru on milrinone, levophed, and propofol in stable condition. she was extubated on her postoperative night. on postoperative day 1, she had her milrinone weaned. on postoperative day 2, she had her chest tubes discontinued and had her neck line changed over a wire, and she was transferred to the floor in stable condition. she was started on anticoagulation with coumadin. she also went into afib on postoperative day #3. her coreg was restarted. she was increased on this slowly but continued to be in afib and would slow to a rapid rate upon ambulation. her epicardial pacing wires were discontinued on postoperative day #3, and on postoperative day #7 ep was consulted. on postoperative day 9, they cardioverted her, and she converted to a sinus rhythm. discharge status: she was discharged to home in stable condition. medications on discharge: potassium 20 meq p.o. b.i.d. (for 7 days); colace 100 mg p.o. b.i.d.; aspirin 81 mg p.o. daily; wellbutrin 150 mg p.o. daily; levbid 0.375 mg p.o. t.i.d., darvocet-n 100 1 to 2 p.o. q.4-6h. p.r.n. (for pain), ibuprofen 600 mg p.o. q.6h. p.r.n. (for pain), lipitor 20 mg p.o. daily, amiodarone 400 mg p.o. daily for 1 month and then decrease to 200 mg p.o. daily, carvedilol 12.5 mg p.o. b.i.d., lisinopril 2.5 mg p.o. daily, and coumadin 4 mg p.o. tonight and tomorrow night and then as directed by dr. . she will have her coag's run every monday, wednesday, and friday and call to his office. his office has been notified of this. laboratory data on discharge: hematocrit of 30.9, white count of 8.4, hemoglobin of 10.5, pt of 18.6, inr of 2.3, sodium of 140, potassium of 4.6, chloride of 102, co2 of 29, bun of 21, creatinine of 1.2, blood sugar of 99. die followup: she will be followed by dr. in 1 to 2 weeks, by dr. in 2 to 3 weeks, by dr. in 4 weeks, and by dr. in 4 weeks. discharge diagnoses: aortic regurgitation, mitral regurgitation, congestive heart failure, atrial fibrillation, hypercholesterolemia. , m.d. dictated by: medquist36 d: 17:18:36 t: 17:58:54 job#: procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other electric countershock of heart open and other replacement of aortic valve open and other replacement of mitral valve pericardiotomy transfusion of packed cells diagnoses: other primary cardiomyopathies congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation other complications due to heart valve prosthesis personal history of tobacco use family history of ischemic heart disease congenital insufficiency of aortic valve adhesive pericarditis disorders of bursae and tendons in shoulder region, unspecified 

Answer: The patient is high likely exposed to