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: labor reason for transfer: hypotension major surgical or invasive procedure: vaginal delivery history of present illness: 32 y/o f with hx of tetralogy of fallot, surgically repaired at age 3, admitted to l&d at 39w3d days in labor. on arrival to l&d she denied any cardiac symptoms. she had a cards consult which determined she was safe to push, has a normal ef. past medical history: 1. tetralogy of fallot, s/p repair at age 3 at hospital, . per records had a vsd closed with a dacron patch, excision of hypertrophied muscles in the crista supraventricularis and opening of a hypoplastic pulmonary annulus. subsequent echo studies have shown (by report) mild ps and mild to mod pr with mild rv dilation. followed by dr. at 's adult congenital heart disease clinic. 2. 1 episode of vt at age 14 s/p exercise obhx: g1p0 medhx: - tetrology of fallot s/p repair at age 3 as above surghx: cardiac surgery, as above social history: denies tobacco, etoh or illicit substances. prior to pregnancy pt went to yoga several times a week as well as used the elliptical trainer ~2x/wk. family history: mgm w/ an "enlarged heart". otherwise non-contributory for scd, arrhythmia or cad. physical exam: on arrival to l&d: vitals - t:97.3 bp:106/76 hr:82 rr:16 cv: 2/6 sem at lsb gen: nad, mildly uncomfortable with ctx abd: soft, gravid, no ttp, efw 8# by sve: deferred, /bbow in triage fht: 120/mod var/+accels/no decels --> category i toco: q 5-6 min exam on arrival to : vitals: t:96.3 bp:108/71 p:91 r:20 o2:98% room air general: alert, pleasant, oriented, no acute distress but mildly anxious heent: sclera anicteric, mm dry, op clear, no tonsillary hyperemia or exudate neck: supple, no appreciable jvd or lad lungs: ctab, no wheezes, rales, rhonchi cv: rrr, normal s1 + s2. pronounced holosystolic murmur most prominent at left usb. no rubs or gallops abdomen: soft, insensate to pressure while anesthetized. bowel sounds present. no organomegaly or pulsatile masses. ext: warm, well perfused, 2+ pulses, no cyanosis or edema. cap refill not assessed given fingernail paint neuro: aaox3. speech fluent, thought process clear. moving upper extremities freely. can move lower extremities though relatively weak in setting of epidural analgesia. pertinent results: admission labs: 02:26am blood wbc-9.5 rbc-4.28 hgb-13.3 hct-39.9 mcv-93 mch-31.1 mchc-33.3 rdw-12.9 plt ct-228 10:29pm blood wbc-25.7*# rbc-3.37* hgb-10.6* hct-31.0* mcv-92 mch-31.3 mchc-34.0 rdw-12.9 plt ct-194 10:29pm blood neuts-93.9* lymphs-3.7* monos-2.2 eos-0.1 baso-0 10:29pm blood pt-12.7 ptt-30.6 inr(pt)-1.1 04:14am blood fibrino-718* 10:29pm blood glucose-87 urean-11 creat-0.7 na-135 k-4.0 cl-104 hco3-20* angap-15 10:29pm blood calcium-8.2* phos-4.0 mg-1.8 cardiac enzymes: 10:29pm blood ck(cpk)-374* 10:29pm blood ck-mb-16* mb indx-4.3 ctropnt-0.09* 05:02am blood ck(cpk)-285* 05:02am blood ck-mb-11* mb indx-3.9 ctropnt-0.02* 12:13pm blood ck(cpk)-287* 12:13pm blood ck-mb-9 ctropnt-0.02* urine: 01:19am urine color-straw appear-hazy sp -1.008 01:19am urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.0 leuks-lg micro: bcx: pending ucx: negative bcx: pending studies: cxr: heart is mildly enlarged. mediastinum within normal limits. lungs are clear. multiple leads project over the chest. impression: probably no active disease in the chest. : tte: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef 60%). there is a small paramembranous ventricular septal defect. the right ventricular free wall is hypertrophied. the right ventricular cavity is dilated with borderline normal free wall function. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: ms was admitted to l&d in active labor. she had a spontaneous vaginal delivery. her labor was uncomplicated. her delivery was complicated by 2nd degree laceration and uterine atony. she received 100 mcg cytotec pr, 0.2 mg methergine im, and 40 units of pitocin iv. the total estimated blood loss was 500cc. the uterotonics controlled the vaginal bleeding but shortly after delivery the patient experienced palpiations. she became hypotensive with nadir bp of 57/33. she received a total of 1000 mcg of phenylephrine over the following several hours, divided into several 100 and 200 mcg boluses. her bp subsequently stabilized with systolic readings in the 100-110s. her symptoms resolved. she was admitted to the postpartum for continued monitoring. . # hypotension: likely hypovolemia, given blood loss during delivery and conservative iv fluid resuscitation in setting of known structural cardiac abnormalities. cardiology was consulted and felt that the patient could tolerate iv fluids, to which her blood pressure responded well. she did not require phenylephrine after arriving in . no evidence of volume overload on cxr, and no peripheral signs of right heart failure. no signs of sirs/sepsis, as patient is afebrile, with normal wbc this morning. cardiogenic etiology also thought possible, given elevated cardiac enzymes, but less likely. she had a tte to evaluate for new wall motion abnormalities which showed only stable mild pulmonary artery systolic hypertension (see attached report). the on-call physician at the patient's cardiology practice ( adult congenital heart disease clinic) was contact and made aware of the events. the patient was hemodynamically stable upon transfer to the postpartum floor. on the postpartum floor her vitals remained normal and she denied symtoms of palpitations/chest pain. . # palpitations/chest pain/tetralogy of fallot: ecg abnormal in setting of repaired tetralogy but generally unchanged from prior, but had no ischemic changes. cardiac enzyme elevation (troponins peaked at 0.09) was likely demand ischemia in setting of hypotension, tachycardia, vasopressors. tachycardia likely hypovolemia as above, +/- anxiety. subjective palpitations and tachycardia both improving with iv fluids and reassurance. . # vaginal bleed s/p spontaneous vaginal delivery: patient had moderate lochia postpartum and her fundus remained firm. her hematocrit decreased from 39.9 on admission to 22.6 postpartum. she received two units of packed rbcs and her hct improved to 27.3, with follow-up hct stable at 27.0. medications on admission: medications (home): pnv metamucil . medications (on transfer): oxytocin discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 2 weeks. disp:*30 tablet(s)* refills:*0* 2. breast pump sig: three times a day: pt s/p icu admission, low milk supply. disp:*1 * refills:*0* 3. ibuprofen 600 mg tablet sig: one (1) tablet po every hours for 2 weeks. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p fullterm vaginal delivery postpartum hemorrhage anemia hypotension s/p tetralogy of fallot repair discharge condition: good discharge instructions: follow printed instructions followup instructions: 6 wks within 2 wks with cardiologist procedure: repair of other current obstetric laceration episiotomy diagnoses: acute posthemorrhagic anemia other chronic pulmonary heart diseases anxiety state, unspecified dehydration tachycardia, unspecified other specified hypotension other nonspecific abnormal serum enzyme levels other immediate postpartum hemorrhage, delivered, with mention of postpartum complication anemia of mother, delivered, with mention of postpartum complication personal history of surgery to heart and great vessels, presenting hazards to health outcome of delivery, single liveborn mental disorders of mother, delivered, with mention of postpartum complication palpitations other current conditions classifiable elsewhere of mother, delivered, with mention of postpartum complication second-degree perineal laceration, delivered, with or without mention of antepartum condition congenital cardiovascular disorders of mother, delivered, with mention of postpartum complication 

Answer: The patient is high likely exposed to