Originally Posted by
malfunction
What heatsink and case are you using at the moment? How much space do you have for a heatsink? How bad are your current temps at idle and under load?
Some top down heatpipe based coolers support a fan under the fin array (or can be easily modified to do so) to reduce the overall height of the heatsink + fan.
If the case has a 120mm fan mount I'd strongly suggest one of the AIO liquid coolers (e.g. a refurb Corsair H80 at ~£40). I'm using a H60 in a SilverStone SG05 (with 2 x 120mm fans in push pull at 7V) and it works a treat.
If all the existing kit is out of warranty (or you don't care) and you're using a top down cooler under the PSU (rather than a tower heatsink) you could try reversing the air flow for everything, including the fan in the existing ATX power supply, as, assuming the PSU is quite close to the top of the existing heatsink - and the PSU isn't being run ragged - this would get a good amount of relatively cool air straight into the heatsink and may stop the power supply fan fighting with the heatsink fan. The downside may be increased system temps but it greatly depends on the case in question. I've had good results from this in the past with small shoe box cases (anything bar a shuttle case which is probably better off left as it is).
I've even mounted a fan on the outside of the PSU before (in a TFX PSU, not an ATX one) to switch from a 10mm fan to a 25mm fan and get more airflow through the CPU heatsink. If the PSU fan is only 2 wire then you can probably disconnect it and use a different fan plugged into a motherboard header rather than plugged into the PSU's fan header. Obviously if the fan is soldered in you'd have to be prepared to resolder it, if it's a 2 pin plug it's a fairly easy test if you're already prepared to open the PSU up.
Obviously changing the airflow in a PSU might lead to dead spots and no air may mean a dead PSU so you'd want to take measurements of all temps before and after, try some load testing and check for hot spots.