Is there any car/truck that would have a direct swap for a VH45DE besides like a Q45

What do you mean a direct swap? If you use the VH45DE bellhousing it well bolt up to any RE4R03A Transmission. In other words almost all V6 Nissan's including a 300ZX Z32. Not only that, it's lighter than the V6 and has more HP ans Torque.

I have seen them swapped into a 240sx before, It shouldnt be that hard to swap it into any RWD nissan platform.