Soldier who lost 4 limbs has double-arm transplant

Seth Wenig / AP

In this July 4, 2012 file photo, Army Sgt. Brendan Marrocco of Staten Island, N.Y., left, Marine Cpl. Todd Love of Atlanta, Ga., center, and Marine Cpl. Juan Dominguez of Deming, N.M., pose for a picture at the 9/11 Memorial in New York.

Seth Wenig / AP

In this July 4, 2012 file photo, Army Sgt. Brendan Marrocco of Staten Island, N.Y., wearing a prosthetic arm, poses for a picture at the 9/11 Memorial in New York. Marrocco, 26, the first soldier to survive losing all four limbs in the Iraq war, has received a double-arm transplant in Baltimore.

By Marilynn Marchione, AP

 

The first soldier to survive after losing all four limbs in the Iraq war has received a double-arm transplant.

Brendan Marrocco had the operation on Dec. 18 at Johns Hopkins Hospital in Baltimore, his father said Monday. The 26-year-old Marrocco, who is from New York City, was injured by a roadside bomb in 2009.

He also received bone marrow from the same dead donor who supplied his new arms. That novel approach is aimed at helping his body accept the new limbs with minimal medication to prevent rejection.

The military is sponsoring operations like these to help wounded troops. About 300 have lost arms or hands in the wars.


"He was the first quad amputee to survive" from the wars in Iraq and Afghanistan, and there have been four others since then, said Brendan Marrocco's father, Alex Marrocco. "He was really excited to get new arms."

The Marroccos want to thank the donor's family for "making a selfless decision ... making a difference in Brendan's life," the father said.

Surgeons plan to discuss the transplant at a news conference with the patient on Tuesday.

The 13-hour operation was led by Dr. W.P. Andrew Lee, plastic surgery chief at Johns Hopkins, and is the seventh double-hand or double-arm transplant done in the United States. Lee led three of those earlier operations when he previously worked at the University of Pittsburgh, including the only above-elbow transplant that had been done at the time, in 2010.

Marrocco's "was the most complicated one" so far, Lee said in an interview Monday. It will take more than a year to know how fully Marrocco will be able to use the new arms, Lee said.

"The maximum speed is an inch a month for nerve regeneration," he explained. "We're easily looking at a couple years" until the full extent of recovery is known.

While at Pittsburgh, Lee pioneered the novel immune suppression approach used for Marrocco. The surgeon led hand transplant operations on five patients, giving them marrow from their donors in addition to the new limbs. All five recipients have done well and four have been able to take just one anti-rejection drug instead of combination treatments most transplant patients receive.

Minimizing anti-rejection drugs is important because they have side effects and raise the risk of cancer over the long term. Those risks have limited the willingness of surgeons and patients to do more hand, arm and even face transplants. Unlike a life-saving heart or liver transplant, limb transplants are aimed at improving quality of life, not extending it.

Quality of life is a key concern for people missing arms and hands — prosthetics for those limbs are not as advanced as those for feet and legs.

Lee has received funding for his work from AFIRM, the Armed Forces Institute of Regenerative Medicine, a cooperative research network of top hospitals and universities around the country that the government formed about five years ago. With government money, he and several other plastic surgeons around the country are preparing to do more face transplants, possibly using the new minimal immune suppression approach.

Marrocco expects to spend three to four months at Hopkins, then return to a military hospital to continue physical therapy, his father said. Before the operation, he had been living with his older brother in a handicapped-accessible home on New York's Staten Island built with the help of several charities.

The home was heavily damaged by Superstorm Sandy last fall.

Despite being in a lot of pain for some time after the operation, Marrocco showed a sense of humor, his father said. He had a hoarse voice from a tube in his throat during the long surgery, decided that he sounded like Al Pacino, and started doing movie lines.

"He was making the nurses laugh," Alex Marrocco said.

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This is the aftermath of the Bush regime.

    Reply#29 - Mon Jan 28, 2013 6:55 PM EST

    It's disgraceful what these young men give for their country...only to be abandoned by it when they come home. Good thing he was given arms so he could more easily hold the cup the beg with. Makes me feel ashamed to call myself an american.

      Reply#30 - Mon Jan 28, 2013 6:59 PM EST

      I know this soldier and am glad to hear about him getting his new arms. I can't imagine how hard it has been for you. Maybe I can get a new leg.

      For all of you arguing over who's fault it is for this war. Most of you think Obama ended the war in Iraq and brought us all home Well that is false. Having been one of the last there he was actually trying to keep us there. Bush signed a security agreement that ended dec 31, 2011. Obama wanted to sign a new one but the iraqi govn'T said no if not for them and bush we would still be there. But yes Bush put us there

      Now why did I say all of that both parties are guilty of the same thing. Both parties use the same cabniet members just in different positions. It doesn't really matter. COngress the president will always be out of touch of the people and will always line their pockets. Now I joined the military becuase everyone in my family has been in the military and fought in a war since the founding of this country on one side Colonists or the other Indian. I joined to serve, to continue in a family tradition. Not take my football scholarship and maybe make it to the NFL or be a DR. Just to serve. I got a new leg and I think all of us veterans from these two wars have been treated great by the american public. Of course there are always a few idiots but 99.99% of americans treat us really well. Actually most veterans get more crap than we actually deserve IMO. Well I got me a new leg and will move on maybe they can give me a donor leg one day but I will wait my turn until the guys more messed up than me my brothers have a shot. No hurry besides hopefully I can deploy again soon and continue to do my part.

      • 1 vote
      Reply#31 - Mon Jan 28, 2013 6:59 PM EST

      G.W. Bush, with a little help from his friends was the "suit" who decided we needed a war to make a statement. And Cheney was the driving force whispering in G. W.'s ear that it was the noble thing to do. Couldn't do Haliburton any harm. A little payback is good among friends. There was no more than a handful in Bush's circle who was going to speak for all Americans and push for war with Iraq. (Cheney, Rumsfeld, Wolfowitz, Rove), et.al. They pulled it off in Congress, including getting support from the ill-advised and not so very smart representatives on both sides of the aisle. Remember the ("WEAPONS OF MASS DESTRUCTION???) I bet it would be a different outcome if there were a vote to do the same now. America wouldn't stand for the same blunder again. I shudder to think where we would be militarily had McCain been elected in 2008. It breaks my heart that so many young soldiers have been irretrievably broken in the service of their country, never to be whole again, especially in support of such a worthless endeavor as the Iraq and Afghanistan wars. And the leaders, (the aforementioned), who engineered the greatest military fiasco of all time have not paid any price, save a little egg on their faces, and a not so favored paragraph in future history books. Yes, the architects of the Iraq war should be visiting daily the broken and injured soldiers of all branches, and their families, and apologize for putting them in harms way. I've heard it all about it being an all voluntary service. Fine and dandy. We should and do expect better decisions from our elected representatives.

        Reply#32 - Mon Jan 28, 2013 7:16 PM EST

        Thank you for your Service. I Salute you and Pray for you and all our other Miiltary personal. USN 63 -69

          Reply#33 - Mon Jan 28, 2013 7:23 PM EST

          My heart goes out to this young man. When I read the story I couldn't believe what I was seeing. However, Thank God for the donor's I pray your recovery will go as planned and a speedy recovery and you can have a great life. God bless you soilder. Semper Fi! You are a hero thank's for your service. I pray that God hears the prayer's and all goes well and a blessed healing. A miracle for you to even be alive.

            Reply#34 - Mon Jan 28, 2013 7:26 PM EST

            Unfortunately, as the world's cop, we seem to be on the ten year war plan - every ten years a new war. War is big business, that's all folks. Unfortunately, our military people pay the price for this in injuries, death, debts and God knows what all. This has got to stop. Let other countries fight it out and forget about the military complex out to make a buck. It's disgusting. I hope this poor guy gets a break with this surgery and that it's successful.

              Reply#35 - Mon Jan 28, 2013 7:34 PM EST

              This is a wonderful story, full of hope. I'm so grateful that Dr. Lee pioneered the technique for lessening rejection. It's a giant step forward. I thank Brendan Marrocco for his service to our country and pray that his recovery is smooth and quick, and that all of the best things in life come to him.

              • 1 vote
              Reply#36 - Mon Jan 28, 2013 7:42 PM EST

              I wish to thank every veteran for serving so others could life free, GHod bless them and keep them.

              I would also like to thank all here who speak out for the heroes of this country, God bless you all.

              So many have died fighting the evil ones in this world, none must ever be forgotten. I pray God will

              one day hold them in His loving arms. This country was bought with blood and guts, along with their faith in

              God. Our pioneers were brave people wanting to leave where they could worship . By the grace of God, and the heroism of many, they got us this far. Now let us stand and and DEMAND the government repay our

              veterans for all they have gone through. Americans unite and fight for our life, lliberty and happiness.

              • 1 vote
              Reply#37 - Mon Jan 28, 2013 7:45 PM EST

              Ummmm no, they came here because they were not allowed to worship how they pleased in Europe. Duhr. Did you skip all your history lessons? Ultimate fail and reason why US is in decline.

                #37.1 - Mon Jan 28, 2013 8:22 PM EST
                Reply

                I would be first in line to give this guy a few bucks if I could.

                  Reply#38 - Mon Jan 28, 2013 7:47 PM EST

                  Next time you see a soldier just buy them a drink or meal. It means a lot to them.

                    #38.1 - Mon Jan 28, 2013 9:51 PM EST

                    When I can, I volunteer at Golden Corral several times a year...thank you. I am saying I would do more if I could. Do unto others...

                      #38.2 - Mon Jan 28, 2013 11:16 PM EST
                      Reply
                      Comment author avatarRita Ostrovavia Facebook

                      In this day and age, we should be able to move beyond armed conflict in resolving international disputes. The sacrifice of beautiful human lives and bodies is not the price to pay.

                        Reply#39 - Mon Jan 28, 2013 7:59 PM EST

                        Unforutnately, there are others on the other side that want to seize control of populations by Force of Arms. Don't be so naive.

                          #39.1 - Mon Jan 28, 2013 8:18 PM EST
                          Reply

                          Best wishes Sgt Marracco. I pray for you to have a long life. While it certainly is not a justification to go to war, it has produced many advances in medicine, which benefits civilians around the world.

                          • 1 vote
                          Reply#40 - Mon Jan 28, 2013 8:10 PM EST

                          There was a reason he lived. I believe it! Now Brenden just has to find out what he was meant to do. Write a book? Work as a counselor? Become a wonderful husband? His destiny is out there!

                            #40.1 - Mon Jan 28, 2013 9:54 PM EST
                            Reply

                            i say cut off all the lazy bums on food stamps and cut off there free obama phones who don't want to work and if they have arms and legs they can help themselves give the money and help to these hero's it makes me sick when i see a car take a handicap parking spot and then they walk all over the store i see this all the time .

                            • 2 votes
                            Reply#41 - Mon Jan 28, 2013 8:21 PM EST

                            Not everybody on food stamps is a lazy bum, nor do they not want to work. I'm not on food stamps, but I am one of those people with arms & legs who take a handicap spot on occasion and I do walk through the store because I can lean on the cart and get support while getting some exercise. Careful what you say. I was a pretty darned good athlete looking forward to playing some college basketball when a drunk driver literally ran over me at the mall. I have quite a chunk of muscle missing from one calf and my back was broken. I have excruciating pain when I walk very far. I work. I pay my own way, but careful judging who is able & who isn't. My dad has 10% of his heart working after a heart attack last year. He has all 4 limbs, but it wears him out to walk to the bathroom. Please try to understand that disabled comes in all different forms.

                            • 1 vote
                            #41.1 - Mon Jan 28, 2013 8:41 PM EST

                            you know who I'm talking about look at how many on food stamps since obama and how many file with a lawyer to get disability you are why so many are scamming .because you say watch what you say i say look at what you see ads is most papers on TV lawyers say call me you can not be turned down get informed i live in the city and see it all .most on my block all scamming and newer cars my cop buddy's see it all day and night bums all have access cards and obama phones .

                            • 1 vote
                            #41.2 - Tue Jan 29, 2013 7:21 PM EST
                            Reply

                            i hope all the women in the military that want combat duty take a good look at these heros. are you sure you are ready for what you could be when you come home

                            • 1 vote
                            Reply#42 - Mon Jan 28, 2013 8:27 PM EST

                            A special thanks goes out to the young man for his service. I'm glad that something positive is happening for him. God bless both him and the family who decided to make the donation. What a tough thing to go through for everybody. THESE people are true heroes.

                              Reply#43 - Mon Jan 28, 2013 8:32 PM EST

                              God bless this soldier. God bless the United States.

                              • 1 vote
                              Reply#44 - Mon Jan 28, 2013 8:36 PM EST

                              Great story and amazing the advancements in medicine. Thanks to all that serve this country. I may not agree with the wars but I will agree that these guys and all who put on the uniform to service are our hero's and deserve our appreciation

                              Godspeed

                                Reply#45 - Mon Jan 28, 2013 8:39 PM EST

                                Some of you people disgust me. You read an article about a young man who has walked through hell and come out on the other side alive, and all you can do is bitch about who's at fault for the war. This surgery is a miracle. The doctors are gaining skills to help others who have lost limbs to accident, illness and yes, war. I have two sons in the Army in Afghanistan. I did not want them there any more than I wanted their father in Viet Nam, but they chose to serve their country with courage and honor, just like all the others like this young man. Courage and Honor, something that seams to be lacking in a lot of persons posting on this site. Hate the war, love the warrior.

                                • 2 votes
                                Reply#46 - Mon Jan 28, 2013 8:44 PM EST

                                Why can't people just be happy that this young man is receiving a true gift? Why can't they just be happy that there are selfless, giving people out there who are willing to allow organ and tissue donation? Why can't they be happy that medical miracles are being performed and it has implications for all amputees down the road? I would hope the donor didn't specify that his arms couldn't go to a particular political party. I'm glad the young man is willing to accept his new arms without asking if it was a democrat or republican that donated them. Geez, people. Some of ya'll are just too much!

                                • 1 vote
                                Reply#47 - Mon Jan 28, 2013 8:57 PM EST

                                I'm happy for you, Sergeant! I'm glad they are taking care of you. Best wishes! (Don't listen to the crud in these comments.) Think positive, stay positive and make sure to laugh. It's the best medicine.

                                  Reply#48 - Mon Jan 28, 2013 9:02 PM EST

                                  Our prayers for your quick and complete recovery. God bless Brendan. God bless Johns Hopkins. God bless our military.

                                    Reply#49 - Mon Jan 28, 2013 9:09 PM EST

                                    YOU GO DAVID!!!!! YOU ARE SURVIVOR!!!!!!

                                    YOUR FRIEND,

                                    BARB B

                                      Reply#50 - Mon Jan 28, 2013 9:13 PM EST

                                      IS Haliburtin selling the prosthetics ????

                                        Reply#51 - Mon Jan 28, 2013 9:19 PM EST

                                        The USPS has two problems. One is the union and the biggest is Congress.

                                          Reply#52 - Mon Jan 28, 2013 9:53 PM EST

                                          Why would a severely disabled vet need to turn to any charitable group for anything? Every need he he has should be met 100% by the federal govt. for the rest of his life.

                                          • 1 vote
                                          Reply#53 - Mon Jan 28, 2013 9:56 PM EST

                                          ozymandias rising, I said the same damn thing. This is 100% the obligation of the United States government.

                                            #53.1 - Tue Jan 29, 2013 1:12 AM EST
                                            Reply
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