hmm this discussion is going a bit off topic me thinks, but I can't resist .
I think there's both pros and cons for graphic card coolers which "mostly" or "mostly not" exhaust the heat directly. Now, mostly exhausting the heat seems obviously better at first glance. But OTOH it seems it's difficult to do that silently - it's hard to beat a big case fan with a comparatively small fan and a tiny exhaust area as far as total heat transfer goes. But of course if you want that everything stays as cool as possible (for instance for overclocking) or there's a lot of heat in a relatively crowded space already (as is the case with SLI) it seems coolers exhausting more hot air are definitely a better choice. So as far as the reference GTS 450 heatsink is concerned, I don't see much of a problem, unless you use SLI (why with this card???), overclock the heck out of all your components or you don't have reasonable airflow inside your case.
I think there's both pros and cons for graphic card coolers which "mostly" or "mostly not" exhaust the heat directly. Now, mostly exhausting the heat seems obviously better at first glance. But OTOH it seems it's difficult to do that silently - it's hard to beat a big case fan with a comparatively small fan and a tiny exhaust area as far as total heat transfer goes. But of course if you want that everything stays as cool as possible (for instance for overclocking) or there's a lot of heat in a relatively crowded space already (as is the case with SLI) it seems coolers exhausting more hot air are definitely a better choice. So as far as the reference GTS 450 heatsink is concerned, I don't see much of a problem, unless you use SLI (why with this card???), overclock the heck out of all your components or you don't have reasonable airflow inside your case.