"We have identified in an exact and certain way a pathology of aortic valve that is called aortic insufficiency," Berlusconi's personal doctor Alberto Zangrillo told reporters.
"There's only one way to correct it, which is the substitution of the aortic valve."
The 79-year-old centre-right leader and media mogul was admitted to hospital on Monday suffering from what his doctors called a "cardiac deficiency".
Zangrillo said Berlusconi should make a full recovery within a month.
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