Scholars@Duke
Britton Donato

Britton Donato

Provisional Faculty in the Department of Surgery
Surgery, Cardiovascular and Thoracic Surgery

Selected Publications

The impact of high-risk zip code on receiving standard of care therapy and survival in esophageal adenocarcinoma.

Journal Article J Thorac Dis · September 30, 2025 BACKGROUND: The impact of sociodemographic disparities on oncologic outcomes has been established. The opportunity to investigate high-risk zip codes of residence as related to standard-of-care therapy and subsequent survival offers an avenue to mitigate d ... Full text Link to item Cite

The impact of extended lymphadenectomy on survival in esophageal adenocarcinoma with complete pathologic response: a retrospective study.

Journal Article J Thorac Dis · July 31, 2025 BACKGROUND: The impact of extended lymphadenectomy in esophageal adenocarcinoma (EAC) has been established in recent literature. The role of lymph node harvest in those achieving a complete pathologic response (CPR) is less clear. We aim to further investi ... Full text Link to item Cite

Heartmate 3 Left Ventricular Assist Device Bend Relief Disconnection Causing Laceration of the Outflow Graft.

Journal Article ASAIO J · May 1, 2025 As technology in mechanical circulatory support continues to advance, so does the utilization of durable left ventricular assist devices (LVADs). We present the first reported case of HeartMate 3 (HM3) LVAD bend relief disconnection causing laceration of t ... Full text Link to item Cite

Transcervical Endoscopic Esophageal Mobilization: An Approach to Transhiatal Esophagectomy.

Journal Article Ann Thorac Surg Short Rep · March 2025 BACKGROUND: Transcervical endoscopic esophageal mobilization (TEEM) is an approach to transhiatal esophagectomy that aims to minimize blood loss and decrease the operative time commonly associated with traditional transhiatal technique. METHODS: A retrospe ... Full text Link to item Cite

Complete pathologic response in esophageal adenocarcinoma: does it make a difference?

Journal Article Dis Esophagus · November 28, 2024 Advancements in neoadjuvant regimens for esophageal adenocarcinoma have enabled some patients to achieve complete pathologic response at time of esophagectomy. There are currently limited data detailing this trend or the implications of complete pathologic ... Full text Link to item Cite

Lymphovascular Invasion is an Independent Negative Prognostic Factor in Esophageal Adenocarcinoma.

Journal Article Ann Surg Oncol · October 2024 BACKGROUND: The significance of lymphovascular invasion (LVI) in esophageal adenocarcinoma (EAC) has not yet been described. Potential utility as an adjunct to current staging guidelines remains unknown. METHODS: The National Cancer Database was queried fr ... Full text Link to item Cite

Extracorporeal membrane oxygenation for general thoracic surgery: case series and narrative review.

Journal Article J Thorac Dis · April 30, 2024 BACKGROUND AND OBJECTIVE: Extracorporeal membrane oxygenation (ECMO) has historically been utilized as a temporary life support option for patients with severe cardiac and pulmonary dysfunction. Recent advancements have enabled the safe application of ECMO ... Full text Link to item Cite

Lung Transplant Outcomes for Idiopathic Pulmonary Fibrosis: Are We Improving?

Journal Article Ann Thorac Surg · April 2024 BACKGROUND: After implementation of the Lung Allocation Score in 2005, idiopathic pulmonary fibrosis (IPF) emerged as the most common indication for lung transplantation (LT) in the United States. The age and comorbidity of patients undergoing LT have sinc ... Full text Link to item Cite

Tracheostomy in high-risk patients on ECMO: A bedside hybrid dilational technique utilizing a Rummel tourniquet.

Journal Article Surg Open Sci · December 2023 OBJECTIVE: Traditionally, critically ill patients requiring prolonged mechanical ventilation benefit from a long-term airway, thus necessitating tracheostomy. The widespread application of extracorporeal membrane oxygenation (ECMO) has exponentially increa ... Full text Link to item Cite

Hyperthermic intrapleural chemotherapy: an update.

Journal Article J Thorac Dis · September 28, 2023 The safety and efficacy of hyperthermic intrathoracic chemotherapy (HITHOC) as an adjunct to cytoreductive surgery (CRS) in pleural malignancies has been well demonstrated. This is most often described in cases of mesothelioma, thymoma, or other secondary ... Full text Link to item Cite

Spontaneous middle lobe torsion: An institutional case series.

Journal Article JTCVS Tech · August 2023 OBJECTIVE: Lobar torsion is a rare occurrence in which a portion of the lung is twisted on its bronchovascular pedicle. The vast majority are observed in the acute postoperative period often following right upper lobectomy. Spontaneous middle lobe torsion ... Full text Link to item Cite

Doege Potter syndrome presenting as multiple fibrous tumours of the chest.

Journal Article Interact Cardiovasc Thorac Surg · July 9, 2022 Doege Potter syndrome is a rare condition causing non-islet cell paraneoplastic hypoglycaemia associated with fibrous tumours, which can be both benign and malignant. The vast majority are solitary and located within the chest. Non-islet cell tumour-induce ... Full text Link to item Cite

Transcatheter aortic valve replacement outcomes in solid organ transplant recipients.

Journal Article J Card Surg · March 2022 BACKGROUND AND AIMS: Transcatheter aortic valve replacement (TAVR) has become the primary treatment for severe symptomatic aortic stenosis in patients >65 years with volumes exceeding surgical aortic valve replacements (SAVR) since 2019. As a less invasive ... Full text Link to item Cite

Severe pectus excavatum with tracheal compression presenting with chronic cough

Journal Article Journal of Pediatric Surgery Case Reports · June 1, 2018 While pectus excavatum is the most common congenital chest wall deformity in children, indications for surgical repair are still debated among experts. Some centers require demonstration of physiologic criteria prior to repair, even in the face of signific ... Full text Cite

A case of traumatic rupture of a giant omphalocele and liver injury associated with transverse lie and preterm labor

Journal Article Journal of Pediatric Surgery Case Reports · November 1, 2016 Perinatal omphalocele rupture is a rare occurrence. We present a case of a baby delivered at 35 weeks with a known giant omphalocele, transverse lie, and the omphalocele downward in the birth canal who suffered rupture of the omphalocele and liver injury a ... Full text Cite