A miraculous breakthrough could be on two fronts: artificial "meat organs" for those whose life is at immediate risk and need a transplant, and regenerative biotech/medicine to repair those with damage without requiring surgery.
Either way, implanted devices can be a good bridge from our current situation.
And they are. One of the other 6 finalists were doing "Genetically-engineered pig kidney xenotransplantation". The idea is to "Genetically engineered pig kidneys that will increase the supply of transplantable organs by eliminating the antibody barrier to xenotransplantation."
So basically getting a artificial heart as a replacement right now, means taking part in developing science and medicine, but not really realistically with any hopes of living on.
The threat model could be a freak heart stabbing. In which case a backup heart somewhere else (and some truly earthshattering breakthroughs in fast clotting) might make sense.
My dream technology would be a way to make my body just ... stop, if Something Bad happened, like all my blood falling out, until someone stumbled upon my non-rotting corpse, patched the holes, and filled it back up.
It's such bullshit that if I stop living for even a little bit my body melts into useless slag like an engine running without oil.