| Middle River to Amelia | 4,413.80 mi (7,103.33 km) |
| Middle River to Anagni | 4,475.06 mi (7,201.92 km) |
| Middle River to Ancona | 4,424.05 mi (7,119.81 km) |
| Middle River to Andria | 4,632.10 mi (7,454.65 km) |
| Middle River to Angri | 4,573.98 mi (7,361.11 km) |
| Middle River to Anguillara Sabazia | 4,423.63 mi (7,119.14 km) |
| Middle River to Anzio | 4,462.19 mi (7,181.20 km) |
| Middle River to Anzola dell'Emilia | 4,292.14 mi (6,907.54 km) |
| Middle River to Aosta | 4,086.71 mi (6,576.93 km) |
| Middle River to Apricena | 4,573.83 mi (7,360.87 km) |
| Middle River to Aprilia | 4,458.29 mi (7,174.93 km) |
| Middle River to Aradeo | 4,753.54 mi (7,650.08 km) |
| Middle River to Aragona | 4,655.55 mi (7,492.39 km) |
| Middle River to Arco | 4,233.44 mi (6,813.06 km) |
| Middle River to Arcola | 4,250.38 mi (6,840.33 km) |
