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: no known allergies / adverse drug reactions attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement (21mm tissue valve) history of present illness: 85 year old female with known history of heart murmur. she was recently referred to dr. for cardiac evaluation. an echocardiogram in revealed left ventricular hypertrophy and severe aortic stenosis. she is symptomatic with dyspnea on exertion and 3 pillow orthopnea however her symptoms vary in the sense that she often has days where she is very active without limitation or symptoms. given the severity of her disease, she has been referred for surgical management. cardiac cath was performed prior to admission. coronary arteries are without significant disease. past medical history: aortic stenosis hyperlipidemia hypertension right renal cyst asthma past surgical history: s/p laparoscopic cholecystectomy yrs ago social history: lives with: lives with son. contact: phone # occupation: retired cigarettes: smoked no yes last cigarette - 60 yrs ago other tobacco use: denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use: denies family history: one sister with cva in her 70s physical exam: pulse: 84 resp: 16 o2 sat: 98% b/p right: 120/70 left: height: 5'3.5" weight: 169 lbs general: well-developed elderly female appears less than stated age skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade 3/6 systolic abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _trace__ varicosities: large varicosities on both legs neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: cath site left: 2+ carotid bruit - right/left: transmitted murmur pertinent results: intra-op tee: conclusions pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). the right ventricular cavity is mildly dilated with normal free wall contractility. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the descending thoracic aorta. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is moderate thickening of the mitral valve chordae. there is no pericardial effusion. post cpb: 1.preserved -ventricular systolic function 2. a bioprosthetic valve is identified in aortic position. well seated and good leaflet excursion. np ai. peak transvslvular gradient of 45 mm hg, with carfiac output = 6.5 liters/min. 3. mr is now mild. 4. no other change 04:53am blood wbc-8.4 rbc-3.06* hgb-9.8* hct-29.3* mcv-96 mch-32.1* mchc-33.5 rdw-13.5 plt ct-219 01:00pm blood wbc-6.5 rbc-4.13* hgb-13.5 hct-39.2 mcv-95 mch-32.7* mchc-34.5 rdw-12.8 plt ct-192 12:30pm blood pt-12.9* ptt-29.6 inr(pt)-1.2* 01:00pm blood pt-11.9 inr(pt)-1.1 04:53am blood glucose-96 urean-19 creat-0.6 na-141 k-4.4 cl-99 hco3-33* angap-13 01:00pm blood glucose-102* urean-14 creat-0.6 na-140 k-3.4 cl-102 hco3-25 angap-16 brief hospital course: the patient was brought to the operating room on where she underwent an aortic valve replacement (#21 mm biocor apical tissue valve)with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker, statin, aspirin, and diuresis was initiated and the patient was gently diuresed toward her preoperative weight. pod#3 mrs. was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #6 she was ambulating freely, the wound was healing and pain was controlled with oral analgesia. the patient was discharged to house rehab & nursing center in in good condition. all follow up appointments were advised. medications on admission: amlodipine 10mg daily, advair diskus 100/50 one puff , simvastatin 20mg daily, asa 81mg daily discharge medications: 1. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 2. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 4. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 6. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours). 13. guaifenesin 600 mg tablet extended release sig: one (1) tablet extended release po bid prn () as needed for secretions. 14. lasix 20 mg tablet sig: one (1) tablet po twice a day: & reevaluate weight & edema. discharge disposition: extended care facility: house rehab & nursing center - discharge diagnosis: aortic stenosis hyperlipidemia hypertension right renal cyst asthma past surgical history: s/p laparoscopic cholecystectomy yrs ago discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: surgeon dr. 07/11/12/12 at 1:30pm cardiologist: 2:45p please call to schedule the following: primary care dr. , e. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization open and other replacement of aortic valve with tissue graft diagnoses: thrombocytopenia, unspecified unspecified essential hypertension acute posthemorrhagic anemia asthma, unspecified type, unspecified aortic valve disorders personal history of tobacco use other and unspecified hyperlipidemia other acquired absence of organ other pulmonary insufficiency, not elsewhere classified, following trauma and surgery 

Answer: The patient is high likely exposed to