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: penicillin v / methyldopa attending: chief complaint: general malaise major surgical or invasive procedure: dental extractions redo sternotomy/avr (#19 ce magna)- history of present illness: 82 yo f s/p cabg now with severe as and recent nstemi, preop for transferred from with sob, recurrent pulmonary edema. past medical history: right carotid endarterectomy cabg at in (lima to lad, svg to rca, svg to first diagonal, svg to om2) nstemi in renal insufficiency (baseline creatinine 1.5) hypertension severe aortic stenosis dementia peripheral vascular disease anemia (baseline hematocrit 32-34) social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: her mother died of a heart attack at age 61. her dad died of a cva at age 47. her sister has diabetes. she has a son who passed away. she had six miscarriages. physical exam: hr 64 rr 20 bp 129/44 nad lungs with scattered rales heart rrr 3/6 sem radiating to neck extrem warm 62" 72 kg pertinent results: echocardiography report general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. resting bradycardia for the patient. see conclusions for post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions pre-bypass: 1. the left atrium is dilated. mild spontaneous echo contrast is seen in the body of the left atrium. a left atrial appendage thrombus cannot be excluded. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area 0.5 cm2). no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 7. there is a small left pleural effusion. dr. was notified in person of the results in the or. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and was av paced. 1. a well-seated bioprosthetic valve is seen in the mitral position with normal leaflet motion and gradients (mean gradient = 11 mmhg and cardiac output of 2.6 l/min). trivial central aortic regurgitation is seen. 2. regional and global left ventricular systolic function are normal. 3. right ventricular systolic function post-bypass is moderately hypokinetic. 4. the intra-atrial septum is dynamic. 5. aortic contours are intact post-decannulation. , l f 82 radiology report chest (portable ap) study date of 2:14 pm , csurg csru sched chest (portable ap) clip # reason: ? ptx s/p ct removal medical condition: 82 year old woman with s/p cabg reason for this examination: ? ptx s/p ct removal final report study: single portable ap chest radiograph. indication: 82-year-old female status post cabg and chest tube removal. comparison: . findings: patient has been extubated with removal of right basilar chest tube and swan-ganz catheter/ng tube. atelectasis at the left lower lobe has improved. small left pleural effusion remains. the upper lungs remain clear. bilateral subclavian artery calcifications are again noted. median sternotomy wires remain in stable condition. impression: 1. interval removal of multiple lines and tubes without pneumothorax. 2. improvement of left lower lobe atelectasis. 3. residual small left pleural effusion. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 4:49 pm imaging lab brief hospital course: she was admitted to cardiac surgery. dental consult was called and tooth extractions were recommended. on she had 5 teeth extracted. on she was taken to the operating room on where she underwent a redo sternotomy and avr. she was transferred to the icu in stable condition. she as extubated on pod #1. chest tubes removed and she was transferred to the floor on pod #2 to begin increasing her activity level. she was gently diuresed toward her preop weight. beta blockade was titrated. pacing wires removed on pod #3.she had several episodes of a fib and coumadin was started. target inr 2.0-2.5. she continued to make good progress and was cleared for discharge to rehab on pod #6. pt. is to make all followup appts. as per discharge instructions. medications on admission: asa 325, lopressor 25", lipitor 10, lovenox 40, norvasc 5, diovan 160,acidophilus discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). 9. enoxaparin 60 mg/0.6 ml syringe sig: sixty (60) units sc subcutaneous once a day. 10. warfarin 3 mg tablet sig: one (1) tablet po once (once) for 1 doses: 3 mg today only ; all further dosing per rehab provider;target inr 2.0-2.5. 11. potassium chloride 20 meq packet sig: one (1) packet po bid (2 times a day): hold for k >4.8. dc when lasix is stopped. discharge disposition: extended care facility: tba discharge diagnosis: as s/p avr r cea, cabg at in (lima to lad, svg to rca, svg to first diagonal, svg to om2), nstemi in , renal insufficiency (baseline creatinine 1.5), hypertension, severe as, dementia, pvd, anemia (baseline hematocrit 32-34) ;postop a fib discharge condition: stable. 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 lifting more than 10 pounds. no driving until follow up with surgeon or at least one month. followup instructions: dr. 2 weeks dr. 4 weeks md procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft other surgical extraction of tooth diagnoses: acidosis anemia in chronic kidney disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure aortic valve disorders peripheral vascular disease, unspecified other persistent mental disorders due to conditions classified elsewhere chronic kidney disease, unspecified 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 occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction subendocardial infarction, subsequent episode of care dental caries, unspecified 

Answer: The patient is high likely exposed to