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: penicillins / sulfa (sulfonamide antibiotics) / cephalosporins / percocet attending: chief complaint: mild doe major surgical or invasive procedure: - closure of atrial septal defect history of present illness: 66 yo female with asd found on echo for murmur . recently tee confirms a large secundum asd with anatomy unfavorable for percutaneous closure.referred for surgery. past medical history: atrial septal defect hypertension obesity diabetes mellitus 2 hyperlipidemia remote duodenal ulcer osteopenia pulmonary hypertension social history: race:caucasian last dental exam:summer lives alone occupation:secretary tobacco:quit 25 years ago- approx 10 pyhx no recr. drug use etoh:rarely family history: family history:father died of mi at 79 physical exam: pulse:76 reg b/p right: 148/84 left: 152/84 resp: o2 sat: height: 5'1" weight:188# general:nad skin: dry heent: perrla eomi ptosis left upper lid;anicteric sclera neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur- 1-2/6 systolic murmur abdomen: soft non-distended non-tender bowel sounds + : obese, no hsm/cva tenderness, healed abd scar extremities: warm , well-perfused edema-none varicosities: none mild spider veins neuro: grossly ; nonfocal exam, mae strengths pulses: femoral right: 1+ left: 1+ dp right: np left: np pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: none left:none pertinent results: echo pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. a large secundum atrial septal defect is present, measuring 1.8 cm square. left to right flow. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic . the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. post-cpb: patient is av-paced, on low dose phenylephrine. there has been a linear suture closure of the asd. no residual flow. normal biventricular systolic fxn. no ai, no mr. . pre-op 07:35am hgb-10.9* calchct-33 07:35am glucose-118* lactate-1.4 na+-135 k+-4.4 cl--100 09:54am fibrinoge-192 09:54am pt-14.9* ptt-24.7 inr(pt)-1.3* 09:54am plt count-251 10:49am urea n-31* creat-0.9 chloride-106 total co2-23 post-op 06:00am blood wbc-8.7 rbc-3.24* hgb-9.3* hct-28.3* mcv-88 mch-28.9 mchc-33.0 rdw-15.0 plt ct-196 06:00am blood plt ct-196 10:49am blood pt-14.1* ptt-28.1 inr(pt)-1.2* 06:00am blood urean-24* creat-0.9 k-4.7 cxr smalll bilateral pleural effusions r>l elevated r hemidiaphram brief hospital course: ms. was admitted to the on for surgical repair of her atrial septal defect. she was taken directly to the operating room where she underwent closure of her atrial septal defect. please see operative note for details. she tolerated the operation well and postoperatively she was taken to the intensive care unit for monitoring. she was hemodynamically stable in the immediate post operative period, she awoke neurologically and was extubated. she was started on beta blockade, statin and aspirin. on pod 1 she experienced right hand numbness which resolved over the day. vascular evaluated her for this complaint and recommended conservative management with warm compresses. she was then transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. the remainder of her post operative course was uneventful. on post-operative day 4 she was discharged to rehabilitation center in . medications on admission: ambien 10 mg daily atenolol 100 mg daily celexa 20 mg daily fosamax 70 mg q tuesday omeprazole 20 mg daily metformin 500 mg lisinopril 20 mg daily simvastatin 40 mg daily discharge medications: 1. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 8. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 9. lasix 40 mg tablet sig: one (1) tablet po once a day. 10. ibuprofen 200 mg tablet sig: two (2) tablet po every six (6) hours for 1 months. 11. celexa 20 mg tablet sig: one (1) tablet po once a day. 12. metformin 500 mg tablet sig: one (1) tablet po twice a day. 13. fosamax 70 mg tablet sig: one (1) tablet po q tues. 14. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: atrial septal defect s/p closure hypertension obesity diabetes mellitus hyperlipidemia remote duodenal ulcer osteopenia pulmonary hypertension discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with ultram prn wound-healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments surgeon dr. on -9am @ mc primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery other and unspecified repair of atrial septal defect diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases other nervous system complications other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure disorder of bone and cartilage, unspecified personal history of peptic ulcer disease acquired cardiac septal defect injury to radial nerve 

Answer: The patient is high likely exposed to