There are several types of low profile adapters that I am aware of. If it's the one that I'm thinking of then I would have to say no. What you see in the pictures is all that came with the card when I bought it. Any adapters or brackets needed beyond what you see will have to be your responsibility to acquire.
I'm sorry but I'm unfamiliar with the term "graft" except in the medical sense. But I know this card will work with Vista. If you could enlighten me on what you mean by "graft" I would greatly appreciate it in case someone else asks me the same thing at another time. Thank you and FB!