A dying cardiologist is in desperate need of a donor heart that no one believes will become available in time to save him. An innocent young woman is brutally raped and murdered in a crime whose trail has long-since grown cold, and the state's most powerful political figure, its senior United States senator, hides his son from the authorities investigating the crime.

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It is the relentless convergence of these disparate threads that drives the narrative of this emotionally-intense romantic thriller, unraveling a thread of deception, blackmail, and murder and ultimately revealing the tragic secret that lies at the heart of THE MAGRUDER TRANSPLANT.