Staged pacemaker implantation in a preterm with hydrops fetalis due to complete heart block.

The authors discuss a case of a 39-year-old-woman, previously diagnosed with systemic lupus erythematosus (SLE) and presenting with diamniotic dichorionic twins for fetal echocardiography at 28 weeks of gestation. She had an emergency cesarean section at 29 weeks because of intrauterine fetal death of twin A; twin B was found to have congenital complete heart block (CHB). He was given staged pacing using temporary epicardial pacing after which he remained hemodynamically stable.