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: penicillins / sulfa (sulfonamide antibiotics) / bee pollens / codeine / epinephrine / tetanus attending: chief complaint: completion of decending aortic repair major surgical or invasive procedure: repair of descending thoracic aortic aneurysm with completion elephant trunk procedure via left thoracotomy and partial right heart bypass using the existing 28 mm vascutek dacron graft used for the original elephant trunk procedure history of present illness: this is a 69-year-old female who underwent an aortic valve replacement, ascending aorta replacement, total arch replacement with the implantation of the arch vessels, and elephant trunk graft on . she recently underwent a ct scan which revealed similar results of her dilated distal arch and descending thoracic aorta measurement as previously recorded. therefore, she will be undergoing the 2nd part of her planned operation. past medical history: ascending aortic aneurysm/ aortic insufficiency s/p aortic valve replacement (25mm mosaic), ascending aorta-arch replacement (elephant trunk) recurrent syncope right lower lobe nodule right upper lobe subpleural plaques hypercholesterolemia s/p partial oophorectomy s/p ligal ligation s/p removal of sebaceous cyst on neck social history: ms. is a retired human resources manager. lives with husband : quit tobacco in etoh: occasional wine family history: her family history is non-contributory. physical exam: admission: pulse: 75 resp: 16 o2 sat: 98% ra b/p right: 152/87 left: height: 63" weight: 54 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally well-healed mediansterotomy incision, stable sternum heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 1+ left: 1+ carotid bruit right: no left: no pertinent results: 02:24am blood wbc-7.4 rbc-2.71* hgb-8.2* hct-23.6* mcv-87 mch-30.1 mchc-34.6 rdw-14.7 plt ct-140* 02:24am blood glucose-108* urean-15 creat-0.7 na-133 k-4.2 cl-101 hco3-27 angap-9 brief hospital course: mrs. was a same day admit after undergoing all pre-operative work-up as an outpatient. on the day of admission she was brought to the operating room where she underwent repair of the descending thoracic aortic aneurysm with completion elephant trunk procedure via left thoracotomy. there was a noticeable right gri=oin hematoma at the end of the case and the groin wa explored. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition on propofol and phenylephrine. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. she was transferred to the floor on pod 2. her cts were removed on pod 2 and the jp drain on pod 3. cxr demonstrated no pneumothorax afterward. physical therapy worked with her for mobilization and she progressed nicely. she was ready for discharge on pod 4. medications, followup and limitations were discussed with her prior to discharge. wounds were clean and healing well and a regular diet was being tolerated. medications on admission: toprol xl 50 mg po daily aspirin 325 mg po daily discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 8. lasix 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*2* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: ascending and descending aortic aneurysms s/p repair of descending thoracic aortic aneurysm with completion elephant trunk procedure via left thoracotomy, exploration of right groin recurrent syncope right lower lobe nodule right upper lobe subpleural plaques hypercholesterolemia s/p aortic valve replacement (25mm mosaic), ascending aorta-arch replacement (elephant trunk) s/p partial oophorectomy s/p ligal ligation s/p removal of sebaceous cyst on neck discharge condition: good discharge instructions: shower daily, no baths or swimming no lotions, creams or powders to incisions no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks () dr. in weeks dr. in weeks () 6 for wound check in 2 weeks please call for appointments procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery resection of vessel with replacement, thoracic vessels diagnoses: thoracic aneurysm without mention of rupture hematoma complicating a procedure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation heart valve replaced by transplant accidents occurring in residential institution first degree atrioventricular block 

Answer: The patient is high likely exposed to