There are too many variables for a catch-all answer. However Dan at <A HREF="http://www.dansdata.com" target="_new">http://www.dansdata.com</A> has tested quite a few heatsinks. He <A HREF="http://www.dansdata.com/kamakaze.htm" target="_new">claims</A> that heatsinks with shrouded fans tend to work better in the suck configuration, and backs it up with performance tests. So it is not automatically false that any heatsink works better in "blow" mode rather than "suck" mode. My advice, if you really want to go after that extra degree or so of cooling, try both and see which works better for your particular HSF/case. Thats the only way you'll know for sure.
One person suggeted hoses to direct air out the case. However, there is already a similar product that uses hoses to take fresh cool air from outside the case, and blow it directly on the CPU. A very simple, but quite effective idea. Read about it here:
<A HREF="http://www.dansdata.com/badong.htm" target="_new">http://www.dansdata.com/badong.htm</A>
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Armadillo<font color=orange>[</font color=orange><font color=green>TcC</font color=green><font color=orange>]</font color=orange> at Lanwar and MML