unplug the fan, try it with just the passive heatsink. It'll probably be fine; otherwise it'll artifact and crash before it burns. I would never think of spending close to 50$ for an AGP card as VirtualLarry suggests. Certainly not if it was my money, anyway.
Personally, I usually remove the old stock fan, leaving the heatsink in place (sometimes with a fresh application of thermal goop), and ziptie an 80mm case fan to the card and plug that fan into a motherboard header which, if BIOS allows, I configure to run at a low speed. Granted, it's an ugly, no non-sense fix, but it costs next to nothing (I have plenty of 80mm fans laying about), is good and quiet and most systems have the room to spare.