Detective Mike McCabe moved from a top homicide job with the NYPD to Portland, Maine to leave his failed marriage and suspicions of wrongdoing behind, and to find a more peaceful life for himself and his 13 year old daughter. But the small New England city is not nearly as safe as he thought. On a warm September night, a missing high-school athlete is found dead in a scrap metal yard, her heart removed from her body with surgical precision. As outrage over the killing spreads, a young business woman disappears while out on a morning jog. McCabe is certain both crimes are the work of one man--a murderer skilled in cardiac surgery who is using his scalpel to target young women. With the clock ticking, McCabe and his partner Maggie Savage find themselves in a desperate race against time to find and rescue the missing woman before she becomes the next victim of the sadistic killer's blade.