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: sulfa (sulfonamides) / ciprofloxacin hcl attending: chief complaint: shortness of breath/ chest pressure major surgical or invasive procedure: ascending aortic replacement (#26 gelweave graft) history of present illness: 54 y/o female with shortness of breath at rest. work-up revealed mild copd by pft's and a chest ct revealed an ascending aortic aneurysm of 4.6cm. then referred for elective surgery. past medical history: hypertension, obesity, chronic obstructive pulmonary disease, gasteroesophageal refulx disease, hiatal hernia, diverticulitis, hepatitis b, l suprahilar granuloma, r arm neuropathy, s/p l shoulder fracture, s/p right ankle fracture, chronic bronchitis, s/p tah, overactive bladder s/p bladder resuspension, s/p appy, s/p multiple cystos, s/p arthroscopic shoulder surgery social history: quit smoking 20 yrs ago. also quit drinking 3 yrs ago after heavy use. family history: non-contributory physical exam: vs: 70 18 114/78 60" general: wdwn in nad skin: w/d unremarkable heent: eomi, perrl, nc/at, op benign neck: supple, from, -jvd, -carotid bruits lungs: ctab -w/r/r heart: rrr, 2/6 sem abd: soft, nt/nd +bs, obese ext: warm, well-perfused, -edema, -varicosities neuro: mae, non-focal, a&0 x 3 pertinent results: echo : pre-bypass: left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). the ascending aorta is moderately dilated. no thoracic aortic dissection is seen. there are three aortic valve leaflets. trace aortic regurgitation is seen. post-cpb: graft in position in the ascending aorta. no leak. small pericardial effusion. no leak or dissection distally to the level of the abdominal aorta. ai remains trace. normal biventricular systolic function. cxr : comparison is made to prior study of . the heart size is unchanged as is the configuration of the mediastinum. the pulmonary vasculature is normal. the right lung is clear. there is a small left pleural effusion and opacities in the left lower lobe likely due to atelectasis. this also appears stable. 10:47am blood wbc-5.4 rbc-2.35*# hgb-6.9*# hct-20.5*# mcv-87 mch-29.5 mchc-33.8 rdw-13.3 plt ct-135*# 10:47am blood pt-21.0* ptt-37.1* inr(pt)-2.0* 11:43am blood urean-13 creat-0.5 cl-110* hco3-21* 07:25am blood wbc-7.2 rbc-2.66* hgb-7.5* hct-22.5* mcv-85 mch-28.3 mchc-33.3 rdw-14.1 plt ct-339 ospital course: ms. had pre-operative work-up done as an outpatient and was electively admitted on for surgery. she was brought directly to the operating room where she underwent an ascending aorta replacement by dr. . please see operative report for surgical details. following surgery she was transferred to the csru in stable condition for invasive monitoring. later on op day she was weaned from sedation, awoke neurologically intact and then extubated. on post-op day two her chest tubes were removed and she was started on beta blockers and diuretics. she was gently diuresed throughout her post-op course towards her pre-op weight. she was also transferred to the cardiac surgery step-down floor on this day. physical therapy followed patient during post-op course for strength and mobility. epicardial pacing wires were removed. over the next several days she continued to improve quite well. labs were stable, anemic, but she was asymptomatic. iron and vit. c were started. vs and physical exam were unremarkable and she was discharged on post-op day four with vna services and the appropriate follow-up appointments. medications on admission: albuterol, protonix 40mg qd, aspirin 81mg qd, hctz 12.5mg qd, enalapril 10mg qd, premarin 0.625mg qod, vit b12, mvi, singulair 10mg qd, detrol la 4mg qd, adviar 250/50, lunesta 2 prn 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. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. 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* 6. 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* 7. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. conjugated estrogens 0.625 mg tablet sig: one (1) tablet po every other day (every other day). 9. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 12. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: vna of greater discharge diagnosis: ascending aortic aneurysm s/p ascending aorta replacement pmh: hypertension, obesity, chronic obstructive pulmonary disease, gasteroesophageal refulx disease, hiatal hernia, diverticulitis, hepatitis b, l suprahilar granuloma, r arm neuropathy, s/p l shoulder fracture, s/p right ankle fracture, chronic bronchitis, s/p tah, overactive bladder s/p bladder resuspension, s/p appy, s/p multiple cystos, s/p arthroscopic shoulder surgery discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions creams or powders to incisions. no driving for 1 month. no lifting greater than 10 pounds for 2 months. p instructions: dr. 1-2 weeks dr. 4 weeks dr. in weeks procedure: resection of vessel with replacement, thoracic vessels diagnoses: esophageal reflux unspecified essential hypertension thoracic aneurysm without mention of rupture chronic airway obstruction, not elsewhere classified diaphragmatic hernia without mention of obstruction or gangrene obesity, unspecified 

Answer: The patient is high likely exposed to