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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Wouldn't it be awesome if Al Pacino visited him?

  • 1 vote
Reply#58 - Mon Jan 28, 2013 10:00 PM EST

As a retired USAR 1SG, these kids have been and still are my hero's. They gave a lot and still do. Now it's our turn to give to them and the sugical team in Baltimore has set the bar and ther standard.

SPC Marrocco, I got your six !!

    Reply#59 - Mon Jan 28, 2013 10:02 PM EST

    Where do I begin? This young man, Brendan, lost his limbs in Iraq for what? While his blood soaked the dirt at the side of the road in that hell-hole, George Bush was havin' a swell ol' time in Texas. This happened to Brendan in 2009. While most people posting here are bickering back and forth about trivialities and letting their tiny egos run stupid, this young man is still in physical pain and going through God knows what everyday. FOCUS ON THE ARTICLE. Can you even attempt to imagine not having your arms and legs??? Can you imagine what he thinks about all day? Can you imagine the pain he experiences every day?

      Reply#60 - Mon Jan 28, 2013 10:58 PM EST

      These people in those countries have been killing each other for a thousand years. Does anyone really think that we can stop them? Please stop the madness and get them home. At the same time remember this on the next election to vote out all and I mean ALL incumbents. It is time to clean out the scum from D.C.

      From one Marine Sgt (during the 60's) to Sgt Marrocco GOD BLESS you and may you have complete use of your new arms and hands. Thank you Sir.

      And yes Jeanette 767450 it would be awesome.


        Reply#61 - Mon Jan 28, 2013 11:43 PM EST

        we owe him every chance at a life since he put his on the line for us. Surgery like this can benefit so many people if successful. This kid deserves our help,whatever the cost. We waste millions on foreign nations without a care,let's help our own for a change.

          Reply#62 - Tue Jan 29, 2013 12:54 AM EST

          Just listen to this statement, and then tell me you want to serve in the military:

          "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."

          No disabled veteran, who served his country and got blown up for doing it, should ever have to depend upon a charity for anything. The United States government should put this man up for life in the Waldorf Astoria.

          • 1 vote
          Reply#63 - Tue Jan 29, 2013 1:10 AM EST

          Everybody should write their congressman and senators, as well as the president, and tell them all about the case of Brendan Marrocco, and be sure to tell them that this man is dependent upon a charity for his living expenses. They should award him $500,000 immediately - him and every other veteran who has lost even 1 limb in any war. And don't worry about adding to the deficit!!!!!

            Reply#64 - Tue Jan 29, 2013 1:16 AM EST

            God bless this soldier and his courage to undertake such a new endeavor to give him some semblance of a normal life. It is the least we can do for him and others like him. Thank you for your service.

              Reply#65 - Tue Jan 29, 2013 1:32 AM EST

              Here's a sample letter I wrote on behalf of Brendan Marrocco and sent to my 2 senators - Dick Durbin and Mark Kirk, as well as my congressman, Danny Davis. I would suggest everybody send a similar type letter to their congressman and senators on behalf of Brendan Marrocco and all the other men and women who have sacrificed for our country:

              "I was reading an article today about an Iraq war veteran, named Brendan Marrocco, who lost 4 limbs in the war, and he's about to have a double arm transplant to replace 2 of his lost limbs. I couldn't imagine surviving what he did or what he has to go through now. He was living on Staten Island with his brother, in a handicapped accessible home, subsidized by charity. No disabled veteran of foreign wars should ever depend upon a charity for anything. That's the obligation of the United States government. At the very least, our government should give each of these brave men and women a $500,000 grant, in addition to anything else they get. I would like to see this young man's name mentioned on the floor of the House and Senate, as well as by the president, and even if these wounded warriors can't get the $500,000 grant that I believe they deserve, at least they should be mentioned and honored by their country."

                Reply#66 - Tue Jan 29, 2013 1:57 AM EST

                If is very disappointing reading the comments section of this story. Whatever your opinions about the government, about the wars, about politics in general, please recognize that this story is not about that. Brendan signed up to fight for his country, not to be a political pawn. How do you think it makes him feel reading these kinds of comments? You think the Marrocco family isn't reading this story? I know if there was a story about me or my family on a national web site, I'd read it.

                I'm very happy for this young man, and for the new possibilities that this transplant technology have brought to his life. Congratulations, Brendan! My hope is that your surgical results exceed all expectations.

                  Reply#67 - Tue Jan 29, 2013 2:44 AM EST

                  Brendan's medical was done by a charity of doctors/surgeons that was set up by the government and paid for by the government. No matter the source of the funding, I am glad that someone is able to help and I hope the future is bright for him and that one day if he became a father he will be able to use his arms to hold his own child.

                  knman, I agree, Brendan is told there is an article about him on NBC and he comes here to read it. And witnesses all this political posturing. Sad.

                  Brendan, if you are reading this, may God watch over you and thank you for your service to our country!

                  • 1 vote
                  Reply#68 - Tue Jan 29, 2013 7:58 AM EST
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