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 (sulfonamide antibiotics) / fentanyl / lipitor attending: chief complaint: shortness of breath, palpitations, chest pressure and worsening fatigue major surgical or invasive procedure: s/p asd closure history of present illness: 70 year old woman with history of shortness of breath, palpitations, chest pressure and worsening fatigue who was worked up by her pcp for dysphagia. as part of workup, she had a transesophageal echocardiogram that showed an atrial septal defect with normal pulmomary veins. cardiac catheterization showed normal coronary arteries. past medical history: dyslipidemia thyroid cancer s/p ablation with radioactive iodine hiatal hernia enterogastric ulcers migraines skin cancer s/p c-section x3 s/p right femoral hernia repair s/p tah social history: retired and lives with her husband in . she never smoked and consumes alcohol rarely. family history: non-contributory physical exam: admission: hr 72 right bp 142/76 left bp 122/64 height 5'5" weight 66kg general: no acute distress neck: supple with full range of motion, no jvd chest: lungs clear to auscultation bilaterally cor: regular rate and rhythm. iii/vi systolic ejection murmur. abdomen: soft and nontender without rebound or guarding extremities: warm without edema. 2+ peripheral pulses neuro: grossly intact pertinent results: echo pre- bypass: 1. the left atrium is normal in size. the right atrium is dilated. a two secundum atrial septal defects present with bidirectional flow. 2. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). with mild global free wall hypokinesis. 3. there are simple atheroma in the descending thoracic aorta. 4. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. 5. the mitral valve leaflets are myxomatous.trace mitral regurgitation is seen. 6. there is no pericardial effusion. post-bypass: 1. left and right ventricular function is preserved. 2.the aorta is intact. 3.both of the asds are repaired with minimal bidirectional flow across the repaired atrial septum is seen. 4. dr. was notified of these results intraoperatively. 06:45am blood wbc-4.2 rbc-3.06* hgb-10.2* hct-28.8* mcv-94 mch-33.2* mchc-35.4* rdw-13.0 plt ct-223 06:45am blood glucose-105 urean-16 creat-0.9 na-137 k-4.1 cl-102 hco3-28 angap-11 brief hospital course: mrs was brought to the operating room on and underwent an asd closure with dacron patch per the ususal routine (please see operative note for further details). she was transferred to the cvicu post-operatively for invasive monitoring. she was extubated within a few hours and was transferred to the floor on pod 1. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. she developed atrial fibrillation on with hypotension. she was transferred back to the intensive care unit for closer monitoring. amiodarone was started. the patient converted back to sinus rhythm before discharge. she was continued on oral amiodarone, as well as beta blocker. anticoagulation was not initiated. by the tiem of discharge on pod 5, the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. medications on admission: levoxyl 75 mcg po daily ambien 5mg po qhs prn fiorinal mvi daily protonix 40 mg po daily asa 325 mg po daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. 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* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed. disp:*60 tablet(s)* refills:*0* 5. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day): 200mg 2x/day for 2 weeks, then 200mg daily. disp:*60 tablet(s)* refills:*0* 6. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. 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* 8. ambien 5 mg tablet sig: one (1) tablet po hs prn as needed for insomnia. disp:*20 tablet(s)* refills:*0* 9. multivitamin capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: s/p asd closure with dacron patch dyslipidemia thyroid cancer s/p thyroidectomy migraines hiatal hernia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks () please call for appointment dr. in 1 week please call for appointment dr. in weeks please call for appointment wound check appointment 2 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery repair of atrial septal defect with prosthesis, open technique diagnoses: other iatrogenic hypotension unspecified acquired hypothyroidism atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia alkalosis ostium secundum type atrial septal defect migraine, unspecified, without mention of intractable migraine without mention of status migrainosus personal history of malignant neoplasm of thyroid 

Answer: The patient is high likely exposed to