| Elk River to Amelia | 4,852.12 mi (7,808.73 km) |
| Elk River to Anagni | 4,918.31 mi (7,915.25 km) |
| Elk River to Ancona | 4,840.47 mi (7,789.99 km) |
| Elk River to Andria | 5,058.20 mi (8,140.39 km) |
| Elk River to Angri | 5,019.33 mi (8,077.84 km) |
| Elk River to Anguillara Sabazia | 4,869.07 mi (7,836.00 km) |
| Elk River to Anzio | 4,913.10 mi (7,906.87 km) |
| Elk River to Anzola dell'Emilia | 4,712.76 mi (7,584.45 km) |
| Elk River to Aosta | 4,517.19 mi (7,269.72 km) |
| Elk River to Apricena | 4,999.71 mi (8,046.26 km) |
| Elk River to Aprilia | 4,907.32 mi (7,897.56 km) |
| Elk River to Aradeo | 5,178.50 mi (8,333.99 km) |
| Elk River to Aragona | 5,148.55 mi (8,285.80 km) |
| Elk River to Arco | 4,637.47 mi (7,463.29 km) |
| Elk River to Arcola | 4,685.84 mi (7,541.13 km) |
