We report on a 50-year-old woman who was able to escape from the cellar which contained fermenting wine, whereas her husband died there. Immediately after the incident she developed an extended myocardial infarction of the anterior and septal wall in spite of an intravenous administration of streptokinase within 2 h. Four weeks later coronary angiography showed normal vessels. A spasm is assumed, favored by systemic hypoxia, CO2-overloading, and systemic adrenergic reaction. The postulated cause of the special localization of the spasm is an unknown individual local factor as in all other similar cases.