Nice work there!

Those Radeon HD6k cards are even more susceptible to going bad when exposed to high temperatures. So with yours running no more than 53°C, I imagine it should definitely last a long time. Thus, no need to mount a second fan and only make your PC noisier. (The only advantage of two fans is if one fails under load, at least the other one could still keep the card cooled better than none at all).
I just reflowed an HD6850 today, tough I haven't tested it yet. Was giving me artifacts... if I could even get it to boot half the time (2 times out of 3, the card needed a "warmup" from a cold boot before the PC could detect it, and if it got too hot, the PC also wouldn't detect it again.) Also have an HD6670 that I managed to fix with a reflow... though I haven't tested that one lone term under stress to see if it really is fixed or not. The HD 3k and 4k series, on the other hand, do manage to work fine for a decent period of time after a reflow, especially if cooled well.
It fits in a full height slot just fine, with enough room to even put a side-facing fan to blow across the card (and space between the fan and the case side too, if needed).
So just because the card is no longer capable of being used in a low-profile "hot box" PC, it's automatically "totally useless"?

There are actually quite a few normal towers that have PCI slots only. While most are systems from the socket 478 Pentium 4 era, there are also some cheaper socket 775 systems that have PCI slots only (mostly crappy Acers and eMachines... though some did come with Pentium Dual Core / Core 2 Duo.)
That said, if I did want to keep it low-profile, I could have just used a different heatsink (with taller fins) that wasn't so big to go out of the card, and then put a 60 mm blower fan on that. That's actually how PNY should have done it really. Instead they were cheap bastards and put this inadequate cooler on it. And putting a card with such cooling in a tiny, low-profile, hot shoebox PC is pretty much guaranteed death of the card after a few years. I've seen enough of those that I don't need convincing anymore. In fact, I even have two in my parts box (regular PCI-E 8400 GS) that I use for pulling parts from, among many others.
For games, yes.
But nVidia cards started offering pretty decent hardware H.264 decoding since their GeForce 7000 series and even better with the 8000 series.
So if you're trying to set up a basic HTPC for playing a bunch of DVD-quality and 720p HD ripped content (i.e. not online or YouTube), that GeForce 8400 should definitely help with that, even if you have a very old and slow CPU. And with CPUs like Core 2 Duo, it should still help offload the CPU workload a good amount at higher bit rate HD video.
In any case, the whole point of that mod was actually more about showing what kind of heatsink size you should expect for a card of 25-30 Watt TDP (max). I've used that same Xbox 360 GPU rev.2 heatsink on many other video cards of mine, and as long as the expected TDP is under 35 Watts, it will keep things pretty cool. I even used it as a temporary heatsink on a slot Pentium 3 Katmai 500 MHz.
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