Permedia2 cards supposedly had some sort of pageable virtual-memory scheme that they could use, for their PCI cards, to DMA texture memory from system RAM into video RAM, something that I think they added from their higher-end workstation cards with similar VM capabilities.
That's the only way besides the current AGP aperture/GART scheme that I'm currently aware of - oh, and ATI's "HyperMemory" for their PCI-E cards, don't know anything about the actual implementation of that yet.
I think that they should add a caching IDE RAID controller to those low-end GF FX5200 and R9200/9550 cards with 256MB of memory on them, at least the additional video-memory wouldn't go to waste. 😛