What if the board at hand has a potato VRM, and a terrible VRM heatsink?
Spend the money on a better board rather than custom heatsink. You're just rolling dren in glitter.
Also, do you really want your vrm to melt and the caps to pop, because thats what will happen, even with extra cooling, cruddy vrms are still cruddy vrms, they have a max amperage they can take.
Unless its the asrock x299 which is the only x299 itx board... I can understand that. Maybe see if But its vrm is actually quite good (the cooling is potato, and power delivery to them could be better).
But even then, the most a low profile air cooler like the one above could disperse would be like maybe 120w. or a 140mm which would do maybe 140w... (for comparison, the silverstone ar11 which is about the same thickness, but with a 90mm can do around 90w). 7960x and 7980xe are 165w at stock, so doesnt leave you much room.
If you could get a 160mm heatsink with 160mm fan on top with 65cfm you might get close. The issue is getting it to the fins, and getting it away from them without making it sound like a jet engine...
Id just put little copper heatsinks on it and call it a day.