The top of the cabinet already has multiple heat vents. I won't know how effective they are until this thing gets up and running. I can always enlarge them, but I seriously don't see it being an issue.
As for top-heaviness, I'm not concerned. This thing will never be moved with the monitor in it. It would simply be too heavy to move with the monitor still installed. It's also just too heavy to wobble. I don't know proptionately how much heavier it is than that 25" monitor that was in there bfore, but it can't be THAT much more. I'm guessing maybe it's 20 or 30 pounds more.
As for grounding, it came out of a plastic case that had no grounding connections to the case, itself. There was no internal groun wiring for the case. It's just a giant plastic shell. It all removed pretty easily. The only grounding was down to the chassis, and that was done in like 4 places. Those all have been replaced properly.