Aeson: A Robot Heart That Keeps You Alive

Every year thousands of patients wait for a donor heart that may never come in time. The Carmat Aeson is a fully implantable artificial heart that replaces the biological heart completely while the wait continues.

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carmat-phrt.com

The Wait That Costs Lives

Heart failure is one of the leading causes of death worldwide. For patients whose hearts have deteriorated beyond what medication or partial support can manage, a transplant is the only solution. The average waiting time for the most urgent cases is six months. That is six months of a heart functioning at a fraction of its capacity, organs beginning to fail from insufficient blood flow, and a body deteriorating faster than the transplant list moves. The tools available to bridge that wait have always been limited, loud, bulky, and confined to hospital settings. The Carmat Aeson changes every one of those constraints.

Carmat Aeson: A Heart That Replaces, Not Supports

The Carmat Aeson is not a support device. It does not assist a damaged heart or compensate for a failing ventricle. It replaces the biological heart entirely. The device is inserted into the chest through the same surgical approach used in a conventional heart transplant, sutured to the large blood vessels and atria, and the chest is closed. What remains visible is a single power cable exiting the abdomen, connecting the implanted device to a battery pack carried in a shoulder bag. No external pump on a trolley. No pneumatic drive. No machine tethered to a hospital wall. The patient walks. The patient recovers. The patient waits for a donor heart with a functioning circulatory system supporting the process.

The Engineering Inside the Chest

The Aeson is a hydraulic pump that generates a pulsating blood flow that mimics the rhythm and pressure of a natural heartbeat. Built-in sensors continuously monitor blood pressure and adjust pumping capacity automatically in response to the body's changing demands. Heart valves and an inner lining made from bovine heart tissue line the blood-contacting surfaces, significantly reducing the risk of clot formation that has historically made artificial heart technology dependent on strong anticoagulant medication. The batteries powering the system provide six to seven hours of autonomy before replacement. At night, the device connects to mains power. The entire implanted unit weighs just over one kilogram and is slightly larger than a biological heart, designed to fit within the chest cavity of most adult patients.

What Recovery Actually Looks Like

Two patients implanted with the Aeson were breathing independently from the day after surgery and transferred to standard wards within days. Damage to the liver and kidneys caused by years of insufficient blood flow began reversing as the artificial heart restored normal circulation. One patient walked to the cafeteria within weeks of the procedure. Across Europe, patients have lived with the Aeson for more than six months while awaiting transplantation, with eleven having since received donor hearts.

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