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: palpitations major surgical or invasive procedure: s/p asd repair with reconstruction of anomolous pulm. veins/tricuspid valve repair/svc reconstruction/reconstruction of svc/ra flutter line ablation history of present illness: 47 y/o male who presented to in with palpitations and found to be in atrial flutter. tee revealed an asd with anomalous pulmonary vein. underwent ablation and was supposed to have surgery, but required dental work. at that time he had no insurance and surgery was cancelled. presented now with updated imaging studies and requiring surgical management. past medical history: h/o atrial septal defect/anomalous pulomary veins, atrial flutter s/p ablation, hypertension, h/o epilepsy social history: single lives with and cares for bipolar mother and yo grandmother as residential counselor for mentally challenged tobacco history - 2.5pk/day x 25 yrs. quit 8 months ago + etoh: drinks 2-5 drinks / x / week no illicit drug use family history: no family hx of sudden cardiac death physical exam: vs: 88 14 136/86 73" 210# gen: wd/wn male in nad skin w/d intact heent: eomi, perrl, op benign neck: supple, from, -jvd, -bruit heart: rrr, holosystolic murmur abd: soft, nt/nd +bs ext: warm, well-perfused -edema, -varicosities neuro: a&o x 3, mae, non-focal pertinent results: echo: pre-bypass: the left atrium is elongated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the right atrium is dilated. a sinus venosus atrial septal defect is present. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). the right ventricular cavity is moderately dilated. there is mild global right ventricular free wall hypokinesis. interventricular septal motion is normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). the tricuspid valve leaflets fail to fully coapt with annular dilatation. moderate to severe tricuspid regurgitation is seen. the main pulmonary artery is dilated. there is no pericardial effusion. post-cpb: on infusions of epinephrine and phenylephrine. well- seated annuloplasty ring in the tricuspid position with no tr, mild prolapse. no tricuspid stenosis. patch-type repair of asd shows no residual flow by color doppler. pulmonary veins now draining into left atrium. aortic contour is normal post decannulation. bi ventricular systolic function is normal post-cpb on inotropic support. 01:01pm blood wbc-18.4* rbc-3.49*# hgb-10.2*# hct-30.8*# mcv-88 mch-29.4 mchc-33.2 rdw-13.8 plt ct-124* 03:00am blood wbc-13.3* rbc-4.18* hgb-12.6* hct-35.6* mcv-85 mch-30.1 mchc-35.4* rdw-14.1 plt ct-145* 01:43pm blood pt-13.8* ptt-30.7 inr(pt)-1.2* 02:05pm blood urean-6 creat-0.7 cl-111* hco3-22 10:30am blood wbc-16.2* rbc-3.87* hgb-11.7* hct-33.1* mcv-85 mch-30.2 mchc-35.4* rdw-13.7 plt ct-629* 10:30am blood plt ct-629* 07:00am blood alt-21 ast-27 ld(ldh)-358* alkphos-123* totbili-0.4 07:00am blood tsh-11* 07:00am blood t4-7.5 t3-90 brief hospital course: mr. was a same day admit after undergoing all pre-operative work-up as an outpatient. on day of admission he was brought to the operating room were he underwent asd repair and reconstruction of anomalous pulm. veins, tricuspid valve repair, reconstruction of svc, and ra flutter line ablation. please see operative report for details. following surgery he was transferred to the csru for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one his chest tubes were removed and he was started on beta blockers and diuretics. he was gently diuresed towards his pre-op weight. later on this day he had bouts of atrial fibrillation and he was started on amiodarone. on post-op day two he was in sinus rhythm, his epicardial pacing wires were removed and he was transferred to the telemetry floor. beta blockers were titrated to maximum hemodynamics as well as a diltiazem drip and he was started on coumadin on post-op day four for his bouts of atrial fibrillation. he worked with physical therapy for strength and mobility. by post-op day four he appeared to be doing well but was awaiting his inr to be therapeutic. on post-op day eleven he was discharged home with vna services and the appropriate follow-up appointments. coumadin/inr to be followed by dr with first blood draw on . target inr 2.0-2.5 for afib. medications on admission: none discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. 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* 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 5. 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:*0* 6. motrin 600 mg tablet sig: one (1) tablet po every six (6) hours: take with food. disp:*120 tablet(s)* refills:*2* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 8. diltiazem hcl 360 mg capsule, sustained release sig: one (1) capsule, sustained release po once a day. disp:*30 capsule, sustained release(s)* refills:*0* 9. toprol xl 200 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*0* 10. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 11. warfarin 1 mg tablet sig: one (1) tablet po once a day: adjust dose as directed by dr. . disp:*30 tablet(s)* refills:*0* 12. outpatient lab work please draw an inr starting on and fax results to dr. (. discharge disposition: home with service facility: vna discharge diagnosis: atrial septal defect/anomalous pulomary veins s/p asd repair and reconstruction of anom. pulm. veins tricuspid regurgitation s/p tricuspid valve repair post-op atrial fibrillation (h/o atrial flutter s/p ablation) pmh: hypertension, h/o epilepsy, a flutter discharge condition: good discharge instructions: follow medications on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. do not use creams, lotions, or powders on wounds. shower daily, let water flow over wounds, pat dry with a towel. call our office for sternal drainage, temp>101.5. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. make an appointment with dr. in weeks. dr. will follow inr levels on coumadin. the vna will draw the first inr on and fax results to dr. at (. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach other and unspecified repair of atrial septal defect other repair of vessel open heart valvuloplasty of tricuspid valve without replacement interatrial transposition of venous return diagnoses: unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation atrial flutter ostium secundum type atrial septal defect epilepsy, unspecified, without mention of intractable epilepsy diseases of tricuspid valve anomaly of great veins, unspecified 

Answer: The patient is high likely exposed to