Patrick May was just three weeks removed from major surgery when he stood with his mother at the starting line of the 2015 UPMC Health
The scenic race crosses over iconic bridges and explores Steel City.
The Pittsburgh Marathon's initiative is to increase exposure for American distance runners.
About 3,000 runners are expected in the race's first edition.
Three marathons recently stepped up to increase charitable donations.
American Mary Akor was the women's champion.
Increased prize money has lured some of the best in the sport.
The annual race takes place on May 5.
American returning champion Jeffery Eggleston almost got the win.
The popular race is going through a rebirth.