Traditional 3D ultrasound reconstruction system can just depict 3D anatomical structure, so it is very difficult to give an accurate assessment of the functionality of the heart. In this study, a dynamic 3D reconstruction method of tissue Doppler ultrasound heart images is set up based on the combination of 3D reconstruction and tissue Doppler imaging technique. Dynamic 3D acceleration field of heart movement is reconstructed to supply a new approach of accurate assessment of functionality of the heart. The key problem of vector interpolation and fusion imaging in the process of acceleration vector field reconstruction is solved. The 3D acceleration field of heart movement and anatomical structure is reconstructed separately from the original tissue Doppler acceleration images and showed in the same field. The experimental results testified that the 3D space relationship of acceleration and anatomical structure is correct and this method can supply more information for the assessment of heart functionality.