| Middle River to Usmate Velate | 4,176.77 mi (6,721.85 km) |
| Middle River to Vaiano | 4,308.28 mi (6,933.51 km) |
| Middle River to Valdagno | 4,259.87 mi (6,855.59 km) |
| Middle River to Valdobbiadene | 4,277.64 mi (6,884.19 km) |
| Middle River to Valeggio sul Mincio | 4,245.65 mi (6,832.71 km) |
| Middle River to Valenza | 4,166.74 mi (6,705.73 km) |
| Middle River to Valenzano | 4,663.82 mi (7,505.69 km) |
| Middle River to Valguarnera Caropepe | 4,686.93 mi (7,542.89 km) |
| Middle River to Valmadrera | 4,170.85 mi (6,712.34 km) |
| Middle River to Valmontone | 4,462.94 mi (7,182.41 km) |
| Middle River to Vanzago | 4,165.46 mi (6,703.65 km) |
| Middle River to Vaprio d'Adda | 4,187.28 mi (6,738.78 km) |
| Middle River to Varazze | 4,184.70 mi (6,734.63 km) |
| Middle River to Varedo | 4,170.51 mi (6,711.78 km) |
| Middle River to Varese | 4,149.34 mi (6,677.72 km) |
