He played minor hockey for the Dauphins de Deux-Rives followed by four years in the Quebec Major Junior Hockey League (QMJHL). He was selected 87th overall by the Buffalo Sabres in the 2005 NHL Entry Draft and signed a professional contract with the Sabres in June 2007. After completing his junior career with the PEI Rocket, Gragnani began his professional career within the Sabres organization in the 2007–08 season, making his debut on February 23, 2008. Although originally drafted as a defenceman, Gragnani shifted to the left wing position during his first season. \n', 'In April 2009, he established a new record for Portland defencemen with 51 points in the regular season. He also set the Portland franchise record for assists by a defenceman in a single season with 42. In 2011, he broke both of his own records by registering 48 assists and 60 points in a single season.\n', '

Gragnani was called up to the parent Buffalo Sabres in March 2011. His first NHL goal was a game-winning overtime goal in a game against the Carolina Hurricanes on April 3, 2011. Gragnani signed a two-year contract extension with the Sabres in the 2011 offseason.\n', '

After making the Sabres lineup for the first time out of training camp and earning a regular roster spot to begin the 2011–12 season, he was made a consistent healthy scratch by February 2012. At the NHL trade deadline, on February 27, he was traded along with forward Zack Kassian to the Vancouver Canucks in exchange for forward Cody Hodgson and defenceman Alexander Sulzer. By that point in the season, Gragnani had played only once in the Sabres\' previous month of games. Joining Vancouver, he was made a healthy scratch for the team\'s first game following the trade before making his Canucks debut on March 1, a 2–0 win against the St. Louis Blues. He finished the year playing in 14 games for Vancouver and did not appear in the playoffs.\n', '

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