Reina Castillo is an alluring young woman whose beloved brother is serving a death sentence for a crime that shocked the community: throwing a baby off a bridge - a crime for which Reina secretly blames herself. With her brother's death, though devastated and in mourning, Reina is finally released from her prison vigil. Seeking anonymity, she moves to a sleepy town in the Florida Keys, where she meets Nesto Cadena, a recently exiled Cuban awaiting with hope the arrival of the children he left behind in Havana.

Through Nesto's love of the sea and capacity for faith, Reina comes to understand her own connections to the life-giving and destructive forces of the ocean that surrounds her as well as its role in her family's troubled history, and in their companionship she begins to find freedom from the burden of guilt she carries for her brother's crime.

Set in the vibrant coastal and Caribbean communities of Miami; the Florida Keys; Havana, Cuba; and Cartagena, Colombia, with The Veins of the Ocean, Patricia Engel delivers a profound and riveting Pan-American story of fractured lives finding solace and redemption in the beauty and power of the natural world - and in one another.