Three-dimensional surface reconstruction images of the heart and great vessels can be produced from contiguous sequences of ECG-triggered MR scans in patients with congenital heart disease. The methods allow separation of the epi- and endocardial surfaces and definition of the enclosed blood volumes on a slice-by-slice basis. Surface reconstruction images have value in communicating the results of MR examinations to clinicians in cases where cardiac morphology is unusually complex; in depicting intracardiac defects, size, and location; and in aiding the study of pulmonary venous drainage. This method can be practical in studying cardiac morphologic abnormalities and especially in planning cardiac surgery.