Table 2. Collaterals and the effect on circulation.
Type | Shunt | Effect on circulation |
---|---|---|
Systemic venous > systemic venous | No | Decreased flow via Glenn |
Systemic venous > pulmonary venous | Deoxy > Oxy | Increased preload SV; (high output state); systemic desaturation |
Oxy > Deoxy | Increased preload SPV | |
Systemic arterial > systemic venous | Oxy > Deoxy | Increased preload SV and SPV |
Pulmonary arterial > pulmonary venous | Deoxy > Oxy | Increased preload SV; high output state; systemic desaturation |
Systemic arterial > pulmonary arterial | Oxy > Deoxy | Increased afterload SPV |
Deoxy, deoxygenated; Oxy, oxygenated; SV, system ventricle; SPV, subpulmonary ventricle.