Patients with heart valve disease are evaluated with non-invasive imaging techniques notably echocardiography. Cardiovascular MRI (CMR) is increasingly applied, not only in case of a poor echocardiographic window, but also as a consequence of CMR's possibilities of precise determination of regurgitation volumes in insufficiency and precise determination of the impact of valve disease on corres-ponding heart chambers including chamber volumes, myocardial masse and fibrosis. In this paper, the emerging role of CMR in evaluation of patients with heart valve disease is reviewed.