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: codeine attending: chief complaint: elective pfo closure with history of cerebrovascular accident major surgical or invasive procedure: minimally invasive patent foramen ovale closure with sutures history of present illness: this is a 33 year old male who suffered left arm numbness/tingling with uncontrolled movements in . hypercoaguable workup was negative at that time while neck arteriograms and mra's were normal. subsequent transesophageal echocardiogram revealed a patent foramen ovale with normal aorta and normal valvular and ventricular function. he currently has no neurological deficits. past medical history: patent foramen ovale, status post right temporal stroke, status post left knee arthroscopy, active smoker social history: tobacco - pack per day for 16 years. he denies excessive etoh. he denies ivda. he is an ups supervisor. he is engaged and lives with fiance. family history: no premature coronary disease. no congenital valvular heart disease. physical exam: temp 99.1, bp 130-140/80-90, pulse 71, resp 18 with 98% room air saturations. general: well appearing male in no acute distress skin: good turgor, no lesions heent: oropharynx benign neck: supple, no jvd, no carotid bruits lungs: clear bilaterally heart: regular rate, normal s1s2, no murmur or rub abdomen: benign ext: warm, no edema or cyanosis pulses: 2+ distal pulses neuro: alert and oriented, cranial nerves grossly intact, no focal deficits noted, 5/5 strength in all extremities with from pertinent results: 06:20am blood wbc-7.5 rbc-4.00* hgb-12.0* hct-34.6* mcv-87 mch-30.1 mchc-34.8 rdw-12.6 plt ct-136* 06:20am blood glucose-114* urean-7 creat-0.9 na-142 k-3.7 cl-103 hco3-30 angap-13 06:20am blood calcium-8.9 phos-2.5* mg-1.8 brief hospital course: mr. was admitted and started on intravenous heparin. he stopped his warfarin several days prior to admission. his heparin was maintained for a ptt between 50 - 70. his preoperative course was otherwise uneventful and he was cleared for surgery. on , dr. performed a minimally invasive pfo closure. his operative course was uncomplicated and he was brought to the csru intubated and sedated. he was quickly weaned from sedation and extubated without incident. he remained in the csru for overnight observation and then transferred to the sdu on postoperative day one. he remained in a normal sinus rhythm. low dose beta blockade was initiated. he required pain control with motrin and dilaudid. his chest tube was removed on postoperative day 1 without complication. his postoperative course was uncomplicated and he was cleared for discharge on postoperative day 2. medications on admission: warfarin 5mg qd, nicotine patch discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*20 patch 24hr(s)* refills:*0* 3. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) for 1 months: take qid for 3 days then prn. disp:*120 tablet(s)* refills:*2* 4. dipyridamole-aspirin 200-25 mg cap, multiphasic release 12 hr sig: one (1) cap po bid (2 times a day). disp:*60 * refills:*2* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed. disp:*60 tablet(s)* refills:*0* 6. toprol xl 25 mg tablet sustained release 24hr sig: 0.5 tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 5 days. disp:*10 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: patent foramen ovale s/p minimally invasive pfo repair h/o right temporal cerebrovascular accident discharge condition: stable, good discharge instructions: 1) patient may shower. no creams, lotions or ointments to incision. 2) no driving for at least 4 weeks 3) no lifting more than 10 lbs for at least 10 weeks followup instructions: dr. in 4 weeks dr. (pcp)in 2 weeks provider: , md, phd: neurology phone: date/time: 4:30 procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other and unspecified repair of atrial septal defect diagnoses: tobacco use disorder ostium secundum type atrial septal defect personal history of other diseases of circulatory system long-term (current) use of anticoagulants cervical spondylosis without myelopathy 

Answer: The patient is high likely exposed to