Fosgate makes a VERY expensive one, and Copland makes one, the CVA306... http://show.audiogon.com/cgi-bin/shm.pl?homeproc&1105388326&item&Brooklynaudio&4&5&6&http://cgi.audiogon.com/cgi-bin/fs_srch.plQQANYAAAApurlsrchAAEXYAAstAAAAAAcopland . The latter contains 1 12AX7 per channel and has an output impedance of less than 600 Ohms.
Conrad-johnson has just announced one, the MET-1, http://www.conradjohnson.com/It_just_sounds_right/index.html . I shudder to think what IT costs, but I'll bet it's the best-sounding of the bunch!
.