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: aspirin / levaquin / chocolate flavor attending: chief complaint: cva - currently asymptomatic major surgical or invasive procedure: minimally invasive asd closure history of present illness: 23 yo m who presented with slurred speech, ride sided numbness and weakness and headache in . mri confirmed stroke. stroke w/u revealed asd. past medical history: cva headaches concussion as teenager social history: pt lives alone in an apartment. he smokes tobacco "rarely". he has approximately one drink/day, but can have up to 6 drinks at a sitting on some occasions. he admitted to use of marijuana (most recently last night), but denied ever using cocaine or intravenous drugs. family history: notable for mother and sister with migraine headaches. his mother had two miscarriages. no history of young stroke or epilepsy in other family members. known history of hypercoagulable disorders, connective tissue disorders. physical exam: nad 100/50 hr 62 papular rash over back eomi perrla no lad lungs ctab rrr abd benign well healed rlq scar from bike accident extrem warm neuro grossly intact pertinent results: 03:45am blood wbc-9.9 rbc-3.64* hgb-10.9* hct-29.7* mcv-82 mch-30.0 mchc-36.7* rdw-13.3 plt ct-202 03:45am blood plt ct-202 03:45am blood glucose-102 urean-12 creat-0.8 na-136 k-4.0 cl-104 hco3-23 angap-13 07:00am blood wbc-8.6 rbc-4.09* hgb-12.6* hct-34.0* mcv-83 mch-30.9 mchc-37.2* rdw-13.4 plt ct-207 07:00am blood plt ct-207 07:00am blood glucose-90 urean-9 creat-0.8 na-138 k-4.0 cl-100 hco3-31 angap-11 echocardiography report , (complete) done at 3:49:46 pm preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 23 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: congenital heart disease. left ventricular function. icd-9 codes: 746.9 test information date/time: at 15:49 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2006aw04-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% to 65% >= 55% findings left atrium: normal la size. no spontaneous echo contrast or thrombus in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. no thrombus in the raa. left-to-right shunt across the interatrial septum at rest. small secundum asd. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thicknesses and cavity size. right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. normal aortic root diameter. normal descending aorta diameter. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient was under general anesthesia throughout the procedure. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre cpb: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no thrombus is seen in the right atrial appendage a left-to-right shunt across the interatrial septum is seen at rest. a small secundum atrial septal defect is present. left ventricular wall thicknesses and cavity size are normal. the right ventricular cavity is mildly dilated. right ventricular systolic function 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. the mitral valve appears structurally normal with trivial mitral regurgitation. there is a trivial/physiologic pericardial effusion. venous and arterial access cannulas were positioned under tee guidance. post cpb: preservrd biventricular systolic function. interrogation of ias shows a small l to r shunt on clolor flow doppler, which further decreased with protamine infusion. interpretation assigned to , md, interpreting physician ,: radiology detail - ccc record # preliminary report pa and lateral chest, history: asd closure. impression: pa and lateral chest compared to , through : postoperative opacification in the right lower lobe has improved, but not cleared. depending upon clinical circumstances, this could be consistent atelectasis or aspiration. tiny bilateral pleural effusion and a miniscule right apical pneumothorax, probably of no active clinical significance. heart is normal size, and there is no pulmonary edema. subcutaneous emphysema noted in the anterior chest wall. dr. ?????? caregroup is. all rights reserved. brief hospital course: on he underwent a minimally invasive asd closure with dr. . he was transferred to the csru in stable condition on a propofol drip. he was extubated later that same day. his chest tube was removed on pod #1 without incident and he was transferred to the floor to begin increasing his activity level. he was started on nsaids around the clock for two weeks. he was ready for discharge on pod #2 to home with services. pt. is to make all follow-up appts. as per discharge instructions. medications on admission: patanol eyedrops daily at home discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 2 weeks: then as needed only. disp:*60 capsule(s)* refills:*0* 2. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 4. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 weeks: around the clock x 2 weeks, then prn. disp:*60 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q2h (every 2 hours) as needed. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: asd pmh: headaches cva discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no driving for two weeks or while taking narcotics. no lifting greater than 10 pounds for 2 weeks. p instructions: dr. 4 weeks dr. 1-2 weeks dr. 2-3 weeks 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 

Answer: The patient is high likely exposed to