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: sulfa attending: chief complaint: ventricular septal defect major surgical or invasive procedure: repair of ventricular septal defect exploratory laparotomy pacement of intra aortic balloon history of present illness: this 78 year old white female presented in late with an acute infarction and undewrwent catheterization, angioplasty and drug eluting stent to the right coronary artery. she was found to have a ventricular septal defect with left to right shunting on echocardiogram. she was assymptomatic and was sent to rehab after discharge, having been consulted by the cardiac surgical service. she continued to fail, with significant lower extremity edema and weakness. she was admitted now for repair of the defect. past medical history: ventricular septal defect s/p multiple back surgeries hypertension gastroesophageal reflux coronary artery disease s/p coronary angioplasty/stent s/p hysterectomy social history: lives alone in , retired office worker. - tobacco history: 45 years of second hand smoke exposure, never smoked herself - etoh: denies - illicit drugs: denies family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. - mother: died at age 87, unclear history of cad - father: stroke at age 65 physical exam: pulse: 81 resp:18 o2 sat: 92% bp right: 78/46 left: height: 63" weight:132# general: frail elderly female in no acute distress, in wheelchair skin: dry intact heent: perrl eomi neck: supple full rom chest: mostly clear bilaterally, soft bibasilar rales noted heart: rrr irregular murmur grade hsm lsb/apex abdomen: soft non-distended non-tender bowel sounds + extremities: cool, no cyanosis with 1+ edema varicosities: none - did not stand neuro: grossly intact pulses: femoral right:2 left:2 dp right:1 left:1 pt :1 left:1 radial right:2 left:2 carotid bruit right: none left: none pertinent results: 03:20pm blood wbc-23.3* rbc-3.80*# hgb-11.2*# hct-32.0*# mcv-84 mch-29.5 mchc-34.9 rdw-16.0* plt ct-212 03:20pm blood urean-46* creat-1.2* na-138 k-3.5 cl-106 hco3-22 angap-14 intraoperative tee: pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). there is a post-infarction ventricular septal defect (vsd) at the basal infero-septal wall measuring 1.3 cm. color flow doppler demonstrates a significant left to right shunt. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate to severe tricuspid regurgitation is seen. the tricuspid annulus is 3.8 cm. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is status post vsd repair. the patient is on an epinephrine infusion and is av paced. this is a technically suboptimal study. there is an echogenic density at the site of the previous vsd likely representing a patch repair. there is no blood flow across the patch. there does appear to be a small jet by color flow doppler from the lv outflow tract into the rv. the left ventricular function is preserved. right ventricular function appears moderately depressed. mitral regurgitation is unchanged. tricuspid regurgitation is moderate (2+). no aortic regurgitation is seen. no aortic stenosis is seen. the ascending aorta, aortic arch, and descending aorta are intact. brief hospital course: following same day admission she was taken to the operating room where the defect was repaired using a dacron patch on the muscular septum. she was weaned from bypass on epinephrine and tee revealed no residual defect as well as minimal tricuspid and mitral regurgitation and the valves were left untouched. after transfer to the cvicu she required a moderate amount of volume resuscitation and awoke intact. she was subsequently extubated. she became hemodynamically unstable and progressively acidotic. cardiac catheterization was performed on demonstrating patent grafts and an intra aortic balloon was placed. exploratory laparotomy was performed which reveaed low flow ischemic small bowel. she was resuscitated and prerssors resumed. her renal function deteriorated and cvvh was instituted on . she developed ischemic feet and hands with sloughing of skin and coldness. the balloon pump was removed. she remained in multisystem organ fsailure on multiple pressors. family meetings were held and on a dnr staus was begun. in keeping with family wishes she was made cmo on the 26th. she was extubated and all pressors discontionued. with the family at bedside, she expired at 15:08 on . medications on admission: aspirin 81mg daily,plavix 75 mg daily, amiodarone 200mg daily, lipitor 40mg daily,citalopram 10mg daily, clonazepam 0.5mg,furosemide 40mg daily, lidocaine patch, lisinopril 5mg daily, metoprolol 25mg , actos 30mg daily, pregabalin 50mg daily, ranitidine, ultram, vit d,calcium, senna and colace discharge medications: none discharge disposition: expired discharge diagnosis: ventricular septal defect coronary artery disease chronic back pain s/p coronary stent noninsulin dependent diabetes mellitus s/p multiple back surgeries s/p cholecystectomy s/p hysterectomy discharge condition: expired discharge instructions: none followup instructions: none md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnostic ultrasound of heart hemodialysis other electric countershock of heart exploratory laparotomy implant of pulsation balloon other and unspecified repair of ventricular septal defect diagnoses: acidosis acute kidney failure with lesion of tubular necrosis other postoperative infection congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver unspecified septicemia hyposmolality and/or hyponatremia severe sepsis atrial fibrillation percutaneous transluminal coronary angioplasty status cardiogenic shock other ascites other and unspecified coagulation defects gangrene acute on chronic combined systolic and diastolic heart failure acute myocardial infarction of other inferior wall, subsequent episode of care arterial embolism and thrombosis of upper extremity acquired cardiac septal defect other secondary thrombocytopenia 

Answer: The patient is high likely exposed to