Phaeochromocytoma and mitral valve replacement

A phaeochromocytoma was diagnosed following a mitral valve replacement and coronary artery bypass in a patient with progressive mitral regurgitation. Despite a previous adverse reaction to anaesthesia, this was not predicted perhaps due to his cardiac disease. Fever, leucocytosis and confusion were also prominent features. Haemodynamic control was achieved with the aid of labetalol.