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: cva, currently asymptomatic major surgical or invasive procedure: minimally invasive asd closure history of present illness: 38 yo african -american male with right cerebellar cva in .started on coumadin. echo suggested small asd, and showed ef 60%, trace mr, trace tr, normal aortic valve, normal chamber size.referred to dr. for surgical repair. past medical history: cva ? elev. chol. social history: works as plumber 1-2 beers per day no tobacco lives with girlfriend family history: no family history of cva physical exam: 68 sr rr 14 110/60 right, 108/60 left 68" 165# wdwn, in nad warm, dry, no c/c/e ncat, perrl, anicteric sclera, op benign, teeth in good repair neck supple, full rom, no jvd or carotid bruits ctab rrr s1 s2, no murmur abd soft, nt, nd +bs warm, well-perfused, no edema or varicosities alert and oriented x3, strengths, gaot steady, nonfocal neuro exam, speech clear 2+ fem/dp/pt/radials pertinent results: 05:30am blood wbc-11.3* rbc-3.61* hgb-10.9* hct-30.9* mcv-86 mch-30.1 mchc-35.2* rdw-13.4 plt ct-183 05:30am blood plt ct-183 05:30am blood glucose-101 urean-12 creat-0.9 na-139 k-4.3 cl-104 hco3-29 angap-10 03:51pm blood alt-32 ast-29 ld(ldh)-198 alkphos-62 totbili-0.4 05:30am blood mg-1.9 03:51pm blood %hba1c-5.5 -done -done conclusions pre bypass: the left atrium is mildly dilated. no spontaneous echo contrast is seen in the left atrial appendage. no thrombus is seen in the left atrial appendage. a left-to-right shunt across the interatrial septum is seen at rest. an atrial septal defect is present.left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). left ventricular wall thicknesses are normal. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. no mitral regurgitation is seen. there is no pericardial effusion. post bypass: preserved biventricular function. no septal flow after protamine administration. pledgetes seen on intraatrial septum. aortic contours intact. remaining exam unchanged. all finidings discussed withs surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician brief hospital course: admitted overnight after stopping coumadin on and lovenox stopped .underwent minimally invasive asd repair with dr. on . transferred to csru in stable condition on a titrated propofol drip.extubated that evening off all drips and transferred to the floor on pod #1 to begin to increase his activity level.chest tube removed on pod #1. small right apical ptx post-tube pull, and cxr repeat on was stable. discharged to home with vna services on pod #3. medications on admission: zocor 5 mg daily coumadin (ld ) lovenox 90 mg sc bid (ld ) 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 q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 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 q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 8. simvastatin 10 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. ibuprofen 400 mg tablet sig: one (1) tablet po q6h (every 6 hours) for 10 days: take with food . disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: s/p min. invasive asd repair prior cva ? elev. chol. discharge condition: stable discharge instructions: may shower over incisions and pat dry no lotions, creams or powders on any incision no driving for 2 weeks call for fever greater than 100, redness, or drainage no lifting greater than 10 pounds for a month followup instructions: follow up with dr. in weeks have dr. arrange for you to be followed by a cardiologist also follow up with dr. in 4 weeks 6 procedure: extracorporeal circulation auxiliary to open heart surgery other and unspecified repair of atrial septal defect diagnoses: ostium secundum type atrial septal defect personal history of other diseases of circulatory system long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to