Abstract
A 22year old male patient with bilateral pheochromocytoma presented with dilated cardiomyopathy, hypertension and tachycardia with history of Congestive cardiac failure (CCF). Confirmation of diagnosis was done by CTscan and raised catecholamines levels. Preoperative BP and HR were controlled with phenoxybenzamine, Angiotensin converting enzyme (ACE) inhibitors and Beta blockers. The anaesthetic technique used was general anaesthesia with epidural analgesia. Extubation was done after 12hrs with the help of Inj.Dexmedetomidine infusion.