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: patient recorded as having no known allergies to drugs attending: chief complaint: asymptomatic major surgical or invasive procedure: 1. ascending aortic and a total arch replacement with a size 28 gelweave medusa graft. 2. aortic valve replacement with a size . tissue valve. 3. right axillary artery cannulation. history of present illness: 70 year old asymptomatic female who states that earlier this year she presented to pcp for routine annual exam and was found to be hypertensive. as part of her work-up she underwent an echocardiogram which revealed dilated ascending aorta (6.9cm) and aortic insufficiency. subsequently underwent chest ct which revealed ascending aortic aneurysm which measured 6.6cm. while being worked up for surgery at another facility she was found to have elevated amylase in the range. given patients family history (pancreatic cancer) she was seen by gi and underwent additional studies. abd ct revealed multiple large renal cysts and dilatation of the common bile duct and head of pancreas. underwent ercp at which was negative for pancreatic cancer (per pt). she has had surgery cancelled multiple times at another facility and presents today for second opinion. past medical history: aortic aneurysm aortic valve insufficiency hypertension osteoporosis breast cancer s/p mastectomy/chemotherapy (6 yrs ago) elevated amylase/lipase (underwent full work-up by gi) social history: lives alone occupation: cafeteria worker tobacco: quit 25 yrs ago etoh: rare use family history: family history: sister with pancreatic cancer physical exam: admission pe pulse: 73 resp: 18 o2 sat: 99% b/p right: - left: 135/75 height: 5'5" weight: 117 lb general: well-developed female in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: - varicosities: b/l neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: intraop echo prebypass left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is markedly dilated and aneurysmal with a diameter of 6.6 cm. there is preservation of the sinotubular junction. the descending thoracic aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. postbypass the patient is receiving no inotropic support post-cpb. there is a well-seated bioprothesis in the aortic position with good leaflet excurion. there is no transvalvular or paravalvular regurgitation. the mean transvalvular gradient is 16 mm hg at a cardiac output of 5 l/min. biventricular systolic function is preserved and all other findings are consistent with pre-bypass findings. there is a tube graft as the ascending aorta measuring 2.8 cm in diameter. all findings communicated to the surgeon intraoperatively. 05:05am blood wbc-9.4 rbc-3.90* hgb-11.3* hct-33.4* mcv-86 mch-28.9 mchc-33.8 rdw-13.3 plt ct-314# 12:52pm blood wbc-4.5 rbc-2.75*# hgb-7.9*# hct-23.5*# mcv-85 mch-28.9 mchc-33.8 rdw-13.8 plt ct-125*# 05:20am blood pt-13.9* inr(pt)-1.2* 12:52pm blood pt-17.8* ptt-53.9* inr(pt)-1.6* 05:05am blood urean-17 creat-0.6 na-133 k-3.6 cl-95* 02:04pm blood urean-11 creat-0.8 na-137 k-4.0 cl-110* hco3-20* angap-11 02:59am blood glucose-98 lactate-1.1 na-128* k-4.3 cl-94* brief hospital course: mrs. was taken to the operating room and underwent ascending aortic and a total arch replacement with a size 28 gelweave medusa graft/aortic valve replacement with a size . tissue valve/ right axillary artery cannulation with dr.. please see dr operative report for further details. she tolerated the procedure well and was transferred to the cvicu on propofol and phenylephrine. she was kept intubated due to sedation induced encephalopathy with associated angioedema. she was hemodynamically stable,weaned off drips, and extubated on pod#2 without incident. beta-blocker/aspirin/statin and diuresis initiated. she continued to progress and was transferred to the step down unit on pod#3 for further monitoring. physical therapy was consulted for evaluation of strength and mobility. mrs. reported her voice was "raspy". ent and speech and swallow were consulted. left vocal cord paralysis evident. she was cleared for regular diet and voice correction therapy and outpatient follow up was advised. pod# 6 she was cleared by dr. for discharge nursing and rehab center in . all follow up appointments were advised. medications on admission: fosamax 70mg qweekly aspirin 81mg daily hydrochlorothiazide 25mg daily labetalol 100mg ativan 0.5mg prn discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: two (2) tablet po every hours as needed for fever/pain. 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 6. tramadol 50 mg tablet sig: one (1) tablet po every 6-8 hours as needed for pain. 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 8. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day). 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day: hold if k > 4.5. 10. lasix 20 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: aortic aneurysm, aortic insufficiency s/p avr with replacement of ascending aorta and total arch pmh: hypertension osteoporosis breast cancer s/p mastectomy/chemotherapy (6 yrs ago) elevated amylase/lipase (underwent full work-up by gi) 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 until follow up with surgeon 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: - dr. on @ 130pm phone: please call to schedule the following appointments: - primary care/cardiology dr. , r in weeks - ent follow up as an outpatient:# - voice therapy as outpt. speech and swallow # md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery fiber-optic bronchoscopy open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels diagnoses: unspecified essential hypertension thoracic aneurysm without mention of rupture atrial fibrillation aortic valve disorders personal history of malignant neoplasm of breast personal history of tobacco use osteoporosis, unspecified angioneurotic edema, not elsewhere classified unilateral paralysis of vocal cords or larynx, partial atherosclerosis of other specified arteries other specified cystic kidney disease 

Answer: The patient is high likely exposed to