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 is a 42-year-old woman with known murmur "all my life", most recently worked up in which showed coarctation of the aorta distal to the left subclavian with proximal aneurysm of the aorta. a cath done in showed a cardiac index of 2.7 with hypertension proximal to the coarctation to 190/100 with a lacunar aneurysm proximal to the coarctation, normal coronary arteries. an echo done also in showed no mr, ms, ar or as. gradient was 35 to 40 mmhg across the coarctation with an ef of 65 percent. past medical history and surgical history: significant for myomectomy in , aortic dilatation in and hypertension. medications at home: include toprol xl 25 mg b.i.d. and losartan 20 mg daily. social history: lives alone. denies tobacco and alcohol use. works as a social worker. family history: mother had diabetes. father had an mi at age 63. allergies: the patient states an allergy to latex. physical examination: on admission, vital signs temperature 98.1, heart rate 68, blood pressure 133/78, respiratory rate 18, o2 sat 96 percent on room air. weight is 93.3 kg. general: no acute distress, alert, oriented times three. neurological: cranial nerves ii through xii grossly intact. nonfocal exam. heent: mucous membranes moist. pupils equally round, reactive to light. extraocular movements intact. neck is supple with no carotid bruits. cardiovascular: regular rate and rhythm, s1, s2 with a 3/6 systolic ejection murmur heard best in the right upper sternal border. pulmonary: clear to auscultation bilaterally. abdomen: soft, nontender, nondistended with normoactive bowel sounds. extremities: warm and well- perfused with no edema. ekg shows sinus rhythm with nonspecific t-wave changes in v1 and v 3. laboratory data: white count 8.0, hematocrit 30, platelets 221. pt 12.8, ptt 27.7, inr 1.0. sodium 140, potassium 3.8, chloride 107, bicarb 25, bun 8, creatinine 0.7, glucose 132, alt 18, ast 23, alk phos 77, ldh 204, total bili 0.2, albumin 4.2. chest x-ray: no acute cardiopulmonary process. ua is negative. the patient was admitted to preoperatively for repair of coarctation scheduled for . on the 29th, the patient was brought to the operating room where she underwent resection of coarctation and descending aortic aneurysm with placement with a 14 mm integrated intravascular graft. please see or report for full details. the patient tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was in sinus rhythm at 76 beats per minute with a cvp of 18. she had propofol at 20 mcg/kg/minute. the patient did well in the immediate postoperative period. her anesthesia was reversed. she was weaned from the ventilator and successfully extubated. on postoperative day one, the patient remained hemodynamically stable. however, she did require labetalol drip as well as nitroglycerin drip to control her hypertension. diuretics were begun and the patient was begun on an oral pain control regime. on postoperative day two the patient remained hemodynamically stable. her iv medications had all been transitioned to oral medications and she was transferred to the floor for continuing postoperative care and cardiac rehabilitation. once on the floor, the patient's chest tubes were removed. her pca was discontinued and she was begun on a cardiac rehabilitation course. over the next several days the patient's activity level was increased with the assistance of the nursing staff and the physical therapy staff. her blood pressure controlled meds were titrated up to blood pressure needs and on postoperative day five, it was decided that the patient was stable and ready to be discharged to home. at the time of the discharge, the patient's physical exam is as follows: temperature 97.8, heart rate 70, sinus rhythm, blood pressure 145/64, respiratory rate 18, o2 sat 97 percent on room air. weight preoperatively is 93.3 kg, at discharge is 94.6 kg. on physical exam, neurologically: alert and oriented times three, moves all extremities, follows commands, nonfocal exam. pulmonary: clear to auscultation bilaterally, although diminished breath volumes. cardiac: regular rate and rhythm, s1 and s2. incision is a left thoracotomy with staples which is clean and dry, no erythema or drainage. abdomen is soft, nontender, nondistended with normoactive bowel sounds. extremities are warm and well- perfused with no edema. condition on discharge: patient's condition at time of discharge is good. discharge diagnoses: 1. status post resection and repair of descending aortic coarctation via left thoracotomy. 2. hypertension. 3. status post myomectomy. discharge medications: 1. potassium chloride 20 meq daily times 2 weeks. 2. colace 100 mg b.i.d. 3. aspirin 81 mg daily. 4. percocet 5/325 1-2 tablets q4-6 hours p.r.n. pain. 5. atorvastatin 20 mg daily. 6. ibuprofen 600 mg q6 hours. 7. lasix 40 mg daily times 2 weeks. 8. labetalol 800 mg b.i.d. th is to be discharged to home with visiting nurses. she is to follow up in the clinic in weeks and follow-up with dr. also in 2 to 3 weeks as well as follow-up with dr. in weeks. , m.d. procedure: resection of vessel with replacement, aorta, abdominal diagnoses: unspecified essential hypertension coarctation of aorta (preductal) (postductal) anomalies of aortic arch 

Answer: The patient is high likely exposed to