| Middle Valley to Amelia | 4,970.94 mi (7,999.95 km) |
| Middle Valley to Anagni | 5,032.67 mi (8,099.31 km) |
| Middle Valley to Ancona | 4,979.39 mi (8,013.55 km) |
| Middle Valley to Andria | 5,188.72 mi (8,350.44 km) |
| Middle Valley to Angri | 5,131.91 mi (8,259.01 km) |
| Middle Valley to Anguillara Sabazia | 4,981.30 mi (8,016.63 km) |
| Middle Valley to Anzio | 5,020.30 mi (8,079.39 km) |
| Middle Valley to Anzola dell'Emilia | 4,847.55 mi (7,801.38 km) |
| Middle Valley to Aosta | 4,642.50 mi (7,471.38 km) |
| Middle Valley to Apricena | 5,130.31 mi (8,256.44 km) |
| Middle Valley to Aprilia | 5,016.27 mi (8,072.91 km) |
| Middle Valley to Aradeo | 5,310.30 mi (8,546.11 km) |
| Middle Valley to Aragona | 5,215.90 mi (8,394.18 km) |
| Middle Valley to Arco | 4,787.09 mi (7,704.08 km) |
| Middle Valley to Arcola | 4,806.96 mi (7,736.06 km) |
