I don't know exec 45 well enough to be able to comment in detail.
From public documentation I know that exec 45 added some new functions such as NewMinList (totally and utterly pointless addition if you ask me!), and AVL tree routines (again IMO such thing doesn't belong to exec).
Exec 45 does, however, make use of the AVL tree functions in the memory pools (AllocPooled, FreePooled etc), and thus has faster memory pools (at least in certain conditions).