For older version of Visual Studio it was a simple tweak in registry
http://codebetter.com/darrellnorton/2004/04/21/get-visual-studio-syntax-highlighting-for-alterna
Go to Tools -> Options -> Text Editor -> File Extension and type your alternative extension and then associate it with your editor (e.g. Microsoft Visual C++)
Tools -> Options -> Text Editor -> File Extension
Microsoft Visual C++