| Middle River to Albenga | 4,178.92 mi (6,725.32 km) |
| Middle River to Alberobello | 4,689.22 mi (7,546.57 km) |
| Middle River to Albignasego | 4,293.90 mi (6,910.37 km) |
| Middle River to Albinea | 4,264.16 mi (6,862.50 km) |
| Middle River to Albino | 4,192.32 mi (6,746.89 km) |
| Middle River to Alcamo | 4,603.91 mi (7,409.28 km) |
| Middle River to Alessandria | 4,168.59 mi (6,708.70 km) |
| Middle River to Alfonsine | 4,330.45 mi (6,969.18 km) |
| Middle River to Alghero | 4,298.91 mi (6,918.43 km) |
| Middle River to Alpignano | 4,115.01 mi (6,622.47 km) |
| Middle River to Altamura | 4,658.11 mi (7,496.51 km) |
| Middle River to Altavilla Vicentina | 4,270.65 mi (6,872.94 km) |
| Middle River to Altofonte | 4,616.62 mi (7,429.73 km) |
| Middle River to Altopascio | 4,294.50 mi (6,911.33 km) |
| Middle River to Alzano Lombardo | 4,190.33 mi (6,743.69 km) |
