| Pittsburgh to Ascoli Piceno | 4,561.23 mi (7,340.59 km) |
| Pittsburgh to Asola | 4,340.75 mi (6,985.77 km) |
| Pittsburgh to Asolo | 4,381.69 mi (7,051.64 km) |
| Pittsburgh to Assemini | 4,497.17 mi (7,237.50 km) |
| Pittsburgh to Assisi | 4,511.89 mi (7,261.19 km) |
| Pittsburgh to Asti | 4,259.16 mi (6,854.46 km) |
| Pittsburgh to Atessa | 4,628.16 mi (7,448.30 km) |
| Pittsburgh to Atri | 4,588.36 mi (7,384.25 km) |
| Pittsburgh to Atripalda | 4,689.43 mi (7,546.90 km) |
| Pittsburgh to Augusta | 4,854.34 mi (7,812.31 km) |
| Pittsburgh to Aulla | 4,357.75 mi (7,013.13 km) |
| Pittsburgh to Aurisina | 4,458.89 mi (7,175.89 km) |
| Pittsburgh to Avellino | 4,687.86 mi (7,544.38 km) |
| Pittsburgh to Aversa | 4,660.67 mi (7,500.62 km) |
| Pittsburgh to Avezzano | 4,586.30 mi (7,380.93 km) |
