If you have the place to install it, the accelero S1 will cool your card very well. My 8800 gt had with stock 55 C idle and 86 C load. With the S1, a bios volt mod and overclock, I have 39 C idle and 52 C load, the room temperature being around 23 C. I also use the cheapest 120 mm fan I could find, dead silent too.
I guess the only thing that bothers me is that the cpu temp went up with 4 C, all that hot air from the cards cooler is sucked into the cpu heatsink, so the temperature increased. So, like others said, if your videocard cooler doesn't evacuate the hot air outside the case, the inside temperature will just get higher, but the card will be cooler.