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 with large asd major surgical or invasive procedure: atrial septal defect repair with pericardial patch, ventricular septal defect repair, mitral valve repair with 36mm cg future ring history of present illness: 48 y/o asymptomatic male with h/o atrial septal defect, ventricular septal defect and mitral regurgitation discovered in . he was seen in cardiology consultation in after the patient's pcp discovered cardiomegaly on cxr. he had repeat echocardiogram which revealed the onset of right heart failure and pumonary hypertension, along with previous findings in . past medical history: atrial septal defect ventricular septal defect mitral regurgitation social history: widow with two daughters. denies smoking or etoh use. family history: nc physical exam: gen: wdwn male in nad skin: w/d intact heent: ncat, eomi, perrl, op benign neck: supple, from -jvd heart: rrr with holosystolic murmur abd: soft, nt/nd +bs ext: warm, well-perfused -edema neuro: a&o x 3, mae, non-focal pertinent results: cxr: the cardiomegaly is unchanged. the post-sternotomy wires are stable as well as the repair device. compared to the previous radiograph, there is slight increased engorgement of the vessels with unchanged appearance of the basal atelectasis and bilateral pleural effusions. there is no pneumothorax. there are no new areas of consolidation, worrisome for pneumonia. echo: pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. a left-to-right shunt across the interatrial septum is seen at rest. a large secundum atrial septal defect is present. the right ventricular cavity is moderately dilated with mild global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. severe (4+) mitral regurgitation is seen. the tricuspid valve leaflets are moderately thickened. moderate tricuspid regurgitation is seen. there is a moderate sized pericardial effusion. unable to demonstrate a vsd, although the membranous septum is attenuated, and appears abnormal. post-cpb: the patient received a patch asd repair, vsd repair, and a mitral valve repair and a mitral ring annuloplasty. on no pressors or inotropes, a-paced. there is a trace of residual inter-atrial flow at the level of the cardiac cushion. there is a trace of mr, and trace to 1+ tr. no vsd is apparent. rv systolic fxn remains mildly depressed. lv systolic fxn remains mildly depressed. aorta intact, and trace ai remains as pre-bypass. echo: the left atrium is dilated. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). there is a mild resting left ventricular outflow tract obstruction. there is no ventricular septal defect. the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is no mitral valve prolapse. a mitral valve annuloplasty ring is present. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is a small pericardial effusion. the effusion appears circumferential. there are no echocardiographic signs of tamponade. compared with the prior study (images reviewed) of , the previously seen primum asd appears to have been repaired with a patch. there is no residual shunt across the defect. the degrees of mitral and tricuspid regurgitation have decreased - both are now only mild. the right ventricle appears less dilated and less hypokinetic. the estimated pulmonary artery systolic pressures are now normal. 03:19pm blood wbc-21.7*# rbc-4.21* hgb-11.8* hct-35.7* mcv-85 mch-28.0 mchc-33.0 rdw-13.7 plt ct-91* 07:10pm blood wbc-19.2* rbc-4.42* hgb-12.2* hct-37.7* mcv-85 mch-27.6 mchc-32.4 rdw-13.4 plt ct-62*# 07:30am blood wbc-11.3* rbc-4.81 hgb-12.9* hct-39.6* mcv-82 mch-26.9* mchc-32.6 rdw-13.2 plt ct-382 03:19pm blood pt-18.3* ptt-32.8 inr(pt)-1.7* 06:20am blood pt-12.3 ptt-26.2 inr(pt)-1.0 04:53pm blood urean-12 creat-1.0 cl-117* hco3-20* 07:30am blood glucose-107* urean-8 creat-1.1 na-140 k-4.2 cl-102 hco3-25 angap-17 06:20am blood calcium-7.6* phos-2.1* mg-2.3 brief hospital course: mr. was a same day admit after undergoing all pre-operative work-up as an outpatient. on day of admission he was brought directly to the operating room where he underwent a atrial septal defect repair, closure of vsd, and mitral valve repair. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he appeared to be doing well and was transferred to the telemetry floor for further care. on post-op day two his chest tubes were removed. also on this day he had heart rhythm issues, including 2 degree av and complete heart block. on post-op day three a hit panel was sent d/t decreasing platelets. ep was also consulted d/t rhythm issues with plan for pacemaker. also hematology consulted on mr. this day for his thrombocytopenia. hit panel was negative and thrombocytopenia thought to be medication induced. he remained stable with epicardial pacing wires intact until pacemaker was placed. he did have rise in temperature which delayed the placement of the pacemaker by several days. he worked with physical therapy and passed an ett without incidence and therefore a ppm was not placed but will f/u with dr. . medications on admission: vitamin 500mg qd discharge medications: 1. docusate sodium 100 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 2. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed. disp:*50 tablet(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po bid (2 times a day) for 5 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 5. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 6. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 3 days. disp:*6 tablet(s)* refills:*0* 7. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: atrial septal defect (asd), ventricular septal defect (vsd), mitral regurgitation s/p asd repair, vsd repair, mv repair discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: wound check on 6 in 2 weeks make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 1 procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart cardioplegia annuloplasty repair of ventricular septal defect with tissue graft repair of atrial septal defect with tissue graft diagnoses: acidosis thrombocytopenia, unspecified mitral valve disorders unspecified pleural effusion congestive heart failure, unspecified cardiac complications, not elsewhere classified other chronic pulmonary heart diseases ventricular septal defect pulmonary collapse ostium primum defect atrioventricular block, complete other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution diseases of tricuspid valve endocardial cushion defect, unspecified type 

Answer: The patient is high likely exposed to