Echocardiography still plays a pivotal role in the evaluation of valvular heart disease. CMR can be useful in case of inadequate echocardiographic examination, in particular for the assessment of valvular regurgitation. The CMR evaluation of valvular heart disease should always include the quantification of lesion severity (quantification of the regurgitation orstenosis), the measurement of the consequences of the valvular defect on the cardiac chambers (volume, mass, and function), and the assessment of valve morphology.