SilentiumPC has revealed a PSU with a fan that will only spin up when necessary.
SilentiumPC 700W Supremo M1 Has 80-Plus Platinum Certificate : Read more
SilentiumPC 700W Supremo M1 Has 80-Plus Platinum Certificate : Read more
The fan idea is nothing new. I've got a PC Power and Cooling PSU which has a fan that only turns on at about 400W or so.