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: phenergan attending: chief complaint: fatigue major surgical or invasive procedure: aortic valve replacement(#25 ce pericardial) history of present illness: known heart murmur for last 15 years, followed by serial echocardiograms. last echo showed sev as and worsening mr. although asymptomatic she was referred for surgical evaluation. cardiac catheterization showed lcx 40% and rca 70% past medical history: hypertension, hypercholesterolemia, gastroesophageal reflux disease, osteoporosis, diverticulosis, h/o small bowel obstruction, cataracts psh: l knee arthroscopy, cholecystectomy, lumbar surgery, tonsillectomy social history: lives w/husband. - quit (25pack year hx) etoh- 1 glass wine/wk family history: father died of heart disease in his 80's physical exam: preop vs hr 74 bp 128/68 rr 12 gen well appearing woman/nad neuro a&ox3, nonfocal exam pulm cta bilat cor rrr s1-s2 4/6 sem abdm soft nt/nd/nabs. well healed llq and ruq scars ext warm and well perfused 1+ pedal edema/mild le venous stasis changes, no varicosities discharge vs t 97 hr 60sr bp 106/50 rr 20 o2sat 94%ra wt 63kg gen no acute distress neuro a&ox3, mae, nonfocal exam pulm diminished at rt base cor rrr abdm soft, nt/nd/+bs ext warm, well perfused. 1+ le edema inc sternal - sternum stable, no erythema, no drainage pertinent results: echo : pre-bypass: there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the aortic root is mildly dilated, measuring between 3.6-3.8 cm. the ascending aorta is mild-moderately dilated measuring 3.8 - 4.0 cm. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex(>4mm) atheroma in the descending thoracic aorta. the aortic valve appears to be functionally bicuspid. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. post-bypass: a bioprosthesis is well seated in the aortic position. leaflets are moving well. peak gradient is about 20mm of hg. no ai is seen mr from before. biventricular systolic function is preserved. cxr : small, bilateral pleural effusions, not significantly changed compared to . 12:12pm blood wbc-10.4 rbc-2.53*# hgb-8.2*# hct-22.9*# mcv-91 mch-32.4* mchc-35.8* rdw-13.5 plt ct-114*# 02:02am blood wbc-13.8* rbc-3.82*# hgb-12.0# hct-32.9* mcv-86 mch-31.5 mchc-36.6* rdw-15.0 plt ct-134* 06:50am blood wbc-13.3* hct-38.0 12:12pm blood pt-18.3* ptt-42.1* inr(pt)-1.7* 06:50am blood pt-24.0* ptt-30.4 inr(pt)-2.4* 12:59pm blood urean-21* creat-0.8 cl-113* hco3-22 06:50am blood glucose-104 urean-58* creat-1.6* na-137 k-3.9 cl-92* hco3-32 angap-17 11:42am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-0.2 ph-6.0 leuks-neg brief hospital course: ms. was a same day admit and on day of admission she was brought directly to the operating room where she underwent an aortic valve replacement. please see operative report for surgical details. pt tolerated the procedure well and was transferred to the csru for invasive monitoring in stable condition. she remained intubated until post-op day one when she was weaned from sedation, awoke neurologically intact and was extubated. on post-op day one she had some brief episodes of atrial fibrillation and was started on beta-blockade. diuretics were started as well and she was gently diuresed towards her pre-op weight. chest tubes were removed on post-op day two and ep service was consulted for af management. beta-blockers were titrated and amiodarone was initiated. also on this day multiple cultures were taken secondary to increased wbc. all cultures were negative. on post-op day three she was transferred to the sdu for continued management. her epicardial pacing wires were removed and she again had another episode of af. she was treated and coumadin was then started. throughout rest of hospital course she had several more episodes of af and will go home on amiodarone and coumadin with a goal inr 2-2.5. over the next several days she was medically managed and awaited inr to increase to therapeutic level. her creatinine trended upward but peaked at 1.7 and then went down, continuing to on ace inhibitor and lasix. she worked with physical therapy throughout hospital course for strength and mobility and was discharged home on post-op day 10 with vna services. plan to have inr checked with results to dr with goal inr 2-2.5. medications on admission: asa 81', lisinopril 10" sotalol 80' hctz 50' evista 60' imiprazole 20', caltrate discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. amiodarone 200 mg tablet sig: two (2) tablet po once a day: please take 400mg once a day for 1 week and then decrease to 200mg once a day . disp:*60 tablet(s)* refills:*0* 4. warfarin 1 mg tablet sig: as directed tablet po daily (daily): target inr 2.0-2.5. disp:*30 tablet(s)* refills:*1* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 8. warfarin 1 mg tablet sig: one (1) tablet po once a day: please take 1 mg and - then have inr checked with results to dr . disp:*30 tablet(s)* refills:*0* 9. outpatient work pt/inr as needed first draw with results to dr office# goal inr 2-2.5 discharge disposition: home with service facility: vna discharge diagnosis: aortic stenosis s/p aortic valve replacement(#25 ce pericardial) post-operative atrial fibrillation pmh: hypertension, hypercholesterolemia, gastroesophageal reflux disease, osteoporosis, diverticulosis, h/o small bowel obstruction, cataracts psh: l knee arthroscopy, cholecystectomy, lumbar surgery, tonsillectomy discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns p instructions: dr in 4 weeks () please call for appointment dr in week () please call for appointment wound check appointment 2 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft transfusion of packed cells diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other and unspecified angina pectoris osteoporosis, unspecified multiple involvement of mitral and aortic valves diseases of tricuspid valve 

Answer: The patient is high likely exposed to