Six-year records of ocean bottom water temperatures at two locations in an isolated, sedimented deep-water (∼4500 m) basin on the western flank of the mid-Atlantic Ridge reveal long periods (months to >1 year) of slow temperature rises punctuated by more rapid (∼1 month) cooling events. The temperature rises are consistent with a combination of gradual heating by the geothermal flux through the basin and by diapycnal mixing, while the sharper cooling events indicate displacement of heated bottom waters by incursions of cold, dense bottom water over the deepest part of the sill bounding the basin. Profiles of bottom water temperature, salinity, and oxygen content collected just before and after a cooling event show a distinct change in the water mass suggestive of an incursion of diluted Antarctic Bottom Water from the west. Our results reveal details of a mechanism for the transfer of geothermal heat and bottom water renewal that may be common on mid-ocean ridge flanks.