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) attending: chief complaint: recent cerebellar infarct major surgical or invasive procedure: minimally invasive asd repair history of present illness: ms. is a 48 year old female with a known patent foramen ovale with right to left shunting. in , she sustained a stroke and subsequently placed on coumadin. she is admitted today for transition of coumadin to heparin and a patent foramen ovale closure. past medical history: stroke migraine eye surgery attention deficit disorder social history: married. lives with husband in , ma. denies alcohol or smoking history. family history: father with mi and stroke physical exam: 99.1 59 sinus 122/76 100% room air saturation gen: no acute distress neck: supple, no jvd heart: rrr, no murmur lung: clear abd: soft, nontender, nondistended, normal bowel sounds. ext: no edema pertinent results: 06:15am blood wbc-5.8 rbc-3.01* hgb-9.4* hct-27.8* mcv-93 mch-31.3 mchc-33.8 rdw-12.7 plt ct-148* 06:15am blood plt ct-148* 06:15am blood urean-10 creat-0.6 k-4.1 chest x-ray the right-sided chest tube has been removed. a small right apical pneumothorax remains, unchanged. there is extensive subcutaneous emphysema as well as some gas within the anterior soft tissues of the breast. these findings are also unchanged. small amount of pneumomediastinum is also unchanged brief hospital course: mrs. was admitted to the medical center on for surgical management of her patent foramen ovale. as she had been holding her coumadin, heparin was started for anticoagulation. on , mrs. was taken to the operating room where she underwent a minimally invasive atrial septal defect closure. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mrs. awoke neurologically intact and was extubated. she was then transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. a right sided pigtail catheter was placed for a right pneumothorax. unfortunately this failed to re-expand her lung and her pigtail was changed to a chest tube over a wire. aspirin (325 mg) was started for anticoagulation per the neurology service given her past stroke. he chest tube was removed on postoperative day five without complication. mrs. continued to make steady progress and was discharged to her home on postoperative day five. she will follow-up with dr. , her cardiologist and her primary care physician as an outpatient. medications on admission: coumadin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 4. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po q3-4h () as needed for pain. disp:*50 tablet(s)* refills:*0* 5. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*1* 6. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q12h (every 12 hours) as needed. 8. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 9. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 10. magnesium sulfate 2 gm / 100 ml d5w iv once duration: 1 doses discharge disposition: home with service facility: vna discharge diagnosis: s/p minimally invasive asd repair discharge condition: good discharge instructions: no lifting > 10 lbs for 6-8 weeks. no driving for 4 weeks. call if you have fevers/ chills, redness/ drainage from wound. p instructions: dr. 4 weeks. please call for an appointment procedure: extracorporeal circulation auxiliary to open heart surgery repair of atrial septal defect with prosthesis, open technique diagnoses: iatrogenic pneumothorax ostium secundum type atrial septal defect 

Answer: The patient is high likely exposed to