The risk of stroke increases with age and doubles for each decade after age 55 years. Framingham data estimate the 10-years probability of stroke at 11 percent in men age 65 and 7 percent for women age 65. At age 80, the probability increases to 22 and 24 percent for men and women, respectively. After age 85 years, women are at greater risk than men. On admission the vital data of the patients were recorded in accordance with the patient proforma. History was recorded, clinical examination findings charted. Pre operatively these patients had recording of blood sugar and blood pressure and entries made in the patient proforma data sheet and measures were taken for the control. Biochemical investigations were done including electrolytes and blood gases. Lipid profile was part of the work up. 43% of Aorto Iliac post-operative patients developed paralytic ileus. These patients improved with optimum electrolytic & fluid management. Electrolyte imbalance was the major cause for this condition, which was seen in about 45% of post-operative patients, followed by metabolic acidosis in 20% of patients. Adverse cardiac events occurred in 20% of the post-operative patients in which half of them developed low cardiac output. Death occurred in 13 patients. All of these were seen in patients who underwent lower limb revascularization.