I have one of those in the VisionTek version, probably means my warranty is no good now:( It has the same heatsink on it too. It started making noise recently and the damned thing was glued on. I popped of a surface mount resister trying to get it off to replace it, finally just replaced the fan parts and resoldered on the resister (wheew)
It been a fine card so far, looks nice, was cheap after they price matched when they lowered it, and all my games now work.
It didn't like my old Asus a7v133 baord though, too much current draw and heat for it, replaced it with a MSI KT3 Ultra aru and all those problems disappeared, everything else but the memory is the same as before.
So as long as your Board can handle the draw and you have a good power supply you'll really like it, just pick up a extra heatsink for when the little fan goes south