| Middle River to Ascoli Piceno | 4,454.08 mi (7,168.16 km) |
| Middle River to Asola | 4,236.48 mi (6,817.96 km) |
| Middle River to Asolo | 4,280.97 mi (6,889.56 km) |
| Middle River to Assemini | 4,374.38 mi (7,039.88 km) |
| Middle River to Assisi | 4,404.14 mi (7,087.77 km) |
| Middle River to Asti | 4,151.32 mi (6,680.91 km) |
| Middle River to Atessa | 4,519.98 mi (7,274.21 km) |
| Middle River to Atri | 4,481.00 mi (7,211.47 km) |
| Middle River to Atripalda | 4,578.64 mi (7,368.61 km) |
| Middle River to Augusta | 4,734.60 mi (7,619.61 km) |
| Middle River to Aulla | 4,249.98 mi (6,839.68 km) |
| Middle River to Aurisina | 4,360.24 mi (7,017.13 km) |
| Middle River to Avellino | 4,577.02 mi (7,366.00 km) |
| Middle River to Aversa | 4,549.17 mi (7,321.18 km) |
| Middle River to Avezzano | 4,476.72 mi (7,204.58 km) |
