| Middle Valley to Ascoli Piceno | 5,010.32 mi (8,063.33 km) |
| Middle Valley to Asola | 4,791.41 mi (7,711.03 km) |
| Middle Valley to Asolo | 4,834.19 mi (7,779.88 km) |
| Middle Valley to Assemini | 4,934.86 mi (7,941.90 km) |
| Middle Valley to Assisi | 4,960.60 mi (7,983.32 km) |
| Middle Valley to Asti | 4,707.75 mi (7,576.39 km) |
| Middle Valley to Atessa | 5,076.65 mi (8,170.07 km) |
| Middle Valley to Atri | 5,037.33 mi (8,106.79 km) |
| Middle Valley to Atripalda | 5,136.28 mi (8,266.05 km) |
| Middle Valley to Augusta | 5,294.66 mi (8,520.94 km) |
| Middle Valley to Aulla | 4,806.41 mi (7,735.17 km) |
| Middle Valley to Aurisina | 4,912.40 mi (7,905.74 km) |
| Middle Valley to Avellino | 5,134.68 mi (8,263.47 km) |
| Middle Valley to Aversa | 5,107.05 mi (8,219.00 km) |
| Middle Valley to Avezzano | 5,033.90 mi (8,101.29 km) |
