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: latex attending: chief complaint: dyspnea on exerion and intermittent palpitations major surgical or invasive procedure: mitral valve repair with 30mm ring and closure of asd with pericardial patch history of present illness: this 45 year old patient with a known heart murmur as a child recently developed shortness of breath and palpitation and was investigated and was found to have primum atrial septal defect with a cleft mitral valve leaflet with a mild mitral regurgitation and mild tricuspid regurgitation with right ventricular dilation. in view of this finding, she was electively admitted for surgical repair. past medical history: h/o r breast cancer s/p lumpectomy and xrt with breast reconstruction left breast reduction social history: denies tobacco or etoh use. family history: non-contributory physical exam: vs: 135/85 70 98%ra general: wd/wn female in nad skin: warm, pink, well-perfused heent: eomi, perrl, nc/at neck: supple, from, -jvd or thyromegaly lungs: ctab -w/r/r heart: rrr +s1s2 w/ 2/6 sem abd: soft, nt/nd, +bs ext: warm, -c/c/e, 2+ pulses pertinent results: echo : the left atrium is markedly dilated. the right atrium is moderately dilated. a left-to-right shunt across the interatrial septum is seen at rest. a primum atrial septal defect is present. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is moderately dilated. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post cpb: a prosthetic patch is visualized on the ias, at the position of the primum defect with no residual shunt on cfd. an annuloplasty ring is seen in the mitral annular position, which is well seated and mecahnically stable. peak gradient across the mitral valve = 16 mm. hg. mean gradient 7 mm hg. mitral valve area by continuity equation was consistently obtained to be 2-2.4 sq.cms. mitral valve area by planimetry of the mitral leaflets was 3 sq. cms. preserved bivertricular systolic function. cxr : 1. decreasing right apical pneumothorax. 2. worsening bibasilar opacities, likely due to atelectasis, although differential includes aspiration and infectious pneumonia. 03:23pm blood wbc-13.0*# rbc-2.73*# hgb-8.0*# hct-23.3*# mcv-85 mch-29.3 mchc-34.4 rdw-13.2 plt ct-191 07:25am blood wbc-7.3 rbc-2.44* hgb-7.0* hct-20.7* mcv-85 mch-28.9 mchc-34.0 rdw-13.9 plt ct-156 04:45am blood hct-19.3* 05:20pm blood pt-14.2* ptt-25.1 inr(pt)-1.3* 03:45am blood pt-13.8* ptt-25.5 inr(pt)-1.2* 05:20pm blood urean-9 creat-0.6 cl-110* hco3-21* 07:25am blood glucose-112* urean-12 creat-0.7 na-135 k-3.8 cl-103 hco3-26 angap-10 04:45am blood urean-8 creat-0.6 na-135 k-4.2 brief hospital course: as mentioned in the hpi, ms. was electively admitted for surgery following out-patient pre-operative work-up. she was brought to the operating room on where she underwent a repair of her mitral valve and closure of a asd y dr. . please see operative report for surgical details. she was then transferred to the csru on minimal bp support for invasive monitoring. later on op day she was weaned from sedation, awoke neurologically intact and extubated. on post-op day tow her chest tubes were removed and she was weaned off neo-synephrine. she was then transferred to the cardiac surgery step down floor. both beta blockers and diuretics were started and she was gently diuresed towards her pre-operative weight. both vitamin c and iron were started secondary to patient being anemic (although asymptomatic so wasn't transfused). epicardial pacing wires were removed on post-op day three. physical therapy followed patient during post-op course for strength and mobility. she continued to improved post-operative with stable labs, vital signs and physical exam on day of discharge. she was discharged home on post-op day 4 with vna services and the appropriated follow-up appointments. medications on admission: aspirin, lisinopril discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 2. furosemide 20 mg tablet sig: one (1) tablet po every twelve (12) hours for 10 days. disp:*20 tablet(s)* refills:*0* 3. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 10 days. disp:*40 capsule, sustained release(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. 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:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 8. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: capitol vna discharge diagnosis: mitral regurgitation/atrial septal defect (asd) s/p mitral valve repair and closure of asd repair h/o r breast cancer s/p lumpectomy and xrt with breast reconstruction left breast reduction discharge condition: good discharge instructions: shower, wash incisions with mild soap and water and pat dry. no lotions, creams or powders to incisions. call with fever >101, redness or drainage from incision, or weight gain more than 2 pounds in one day or five pounds in one week. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. in four weeks dr. in two weeks dr. in two weeks procedure: extracorporeal circulation auxiliary to open heart surgery other and unspecified repair of atrial septal defect open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders ostium primum defect 

Answer: The patient is high likely exposed to