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: no known allergies / adverse drug reactions attending: chief complaint: activity intolerance major surgical or invasive procedure: mini-thoracotomy, atrial septal defect history of present illness: this 38 year old male with congential sensorineural hearing loss and a secundum asd who has been experiencing worsening dyspnea on exertion over the last 6 months. his activity level is quite low. he has been followed by dr. and has had both an echo and cardiac mri demonstrating secundum atrial septal defect. the cardiac mri done reveals the atrial septal defect's maximal diameter to 2.3cm with a qp/qs to 1.56 and right ventricular enlargement. the patient was then referred for tee and possibly a percutaneous atrial septal defect closure. past medical history: chronic kidney disease congenital deafness; uses american sign language (even though understands spanish; does not speak) gynecomastia nephrolithiasis hypertension secundum asd obesity asthma as a child leg surgery as a child for "bowed legs" social history: mr. lives with his father and does not work. he denies smoking or drinking alcohol. family history: mr. has a sister with an atrial septal defect which was surgically repaired in . physical exam: pulse: 100 resp: 16 o2 sat: 100% ra b/p right: 128/86 left: 119/82 height: 64 in weight: 214 lbs general: skin: warm dry intact heent: ncat perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact discharge exam: vs: t:98.9 hr: 70-80's sr bp: 125-139/70's sats: 97% ra wt: 102.3 kg general: 39 year-old male in no apparent distress heent: normocephalic mucus membranes moist card: rrr normal s1,s2 no murmur resp: clear breath sounds gi: benign extr: warm no edema incision: right anterior chest below right breast clean dry intact, no erythema neuro: awake alert. sign language intrepreter present pertinent results: echocardiography report jr, (complete) done at 11:30:42 am final conclusions pre-bypass: the left atrium is normal in size. no thrombus is seen in the left atrial appendage. a secundum type atrial septal defect is present measuring 2.2 cm x 1.7cm with left to right flow. no other asds or vsds visualized. left ventricular wall thicknesses and cavity size are normal. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. no clot in laa. normal appearing coronary sinus. dr. was notified in person of the results on at 1030. post-bypass: there is preserved left ventricular function. there is a patch occluding the asd with no residual defect. there is no evidence of aortic dissection. valvular function is unchanged from prebypass. . cxr right internal jugular line tip is at the level of mid svc. heart size and mediastinum are unremarkable. bibasilar atelectasis are present. small amount of pleural effusion is seen. no overt pneumothorax is demonstrated. wbc-14.3* rbc-3.64* hgb-11.2* hct-32.2* mcv-88 mch-30.7 mchc-34.8 rdw-13.0 plt ct-207 wbc-19.8* rbc-4.41* hgb-13.5* hct-39.5* mcv-90 mch-30.7 mchc-34.3 rdw-13.0 plt ct-293 wbc-22.3*# rbc-4.49* hgb-13.7* hct-39.0* mcv-87 mch-30.5 mchc-35.1* rdw-12.6 plt ct-261 glucose-202* urean-12 creat-0.9 na-135 k-3.9 cl-101 hco3-26 mg-2.3 mrsa screen (final ): no mrsa isolated. brief hospital course: the patient was brought to the operating room on where the patient underwent an atrial septal defect repair via a mini-thoracotomy. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod **** the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with multicultural vna in good condition with appropriate follow up instructions. medications on admission: amlodipine 10 mg tablet daily hydrochlorothiazide 25 mg tablet daily lisinopril 20 mg tablet daily discharge medications: 1. acetaminophen 650 mg po q4h:prn pain 2. aspirin ec 81 mg po daily 3. docusate sodium 100 mg po bid 4. ibuprofen 600 mg po q8h duration: 2 weeks take with food and water rx *ibuprofen 600 mg 1 tablet(s) by mouth three times a day disp #*45 tablet refills:*0 5. metoprolol succinate xl 50 mg po daily rx *metoprolol succinate 50 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*0 6. hydrochlorothiazide 25 mg po daily 7. lisinopril 5 mg po daily rx *lisinopril 5 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*0 8. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain rx *hydromorphone 2 mg tablet(s) by mouth every six (6) hours disp #*60 tablet refills:*0 discharge disposition: home with service facility: multicultural vna discharge diagnosis: atrial septal defect pmh: chronic kidney disease congenital deafness; uses american sign language (even though understands spanish; does not speak) gynecomastia nephrolithiasis hypertension secundum asd obesity asthma as a child past surgical history: leg surgery as a child for "bowed legs" 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: shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions no lotions, cream, powder, or ointments to incisions daily weights. keep a log no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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** followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office , 12:30 in the medical building surgeon dr. , md phone:, 1:15 in the medical building cardiologist dr. , md phone: date/time: 10:20 please call to schedule the following: primary care dr., m. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: extracorporeal circulation auxiliary to open heart surgery other and unspecified repair of atrial septal defect diagnoses: hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified ostium secundum type atrial septal defect sensorineural hearing loss, bilateral 

Answer: The patient is high likely exposed to