A veno-arterial extracorporeal membrane oxygenation (VA ECMO) system comprising:a dual lumen drainage cannula comprising:a first drainage tube having a proximal end, a distal end, and a sidewall extending between the proximal end and the distal end; anda second drainage tube in axial alignment with the first drainage tube and having a proximal end, a distal end, and a sidewall extending between the proximal end and the distal end;a blood pump having a pump inlet and a pump outlet, the pump inlet configured for fluidly connecting to the first drainage tube and the second drainage tube;an oxygenator having an oxygenator inlet and an oxygenator outlet, the oxygenator inlet configured for fluidly connecting with the pump outlet; andan infusion cannula configured for fluidly connecting with the oxygenator outlet,wherein the distal end of the first drainage tube has a plurality of first drainage apertures and the distal end of the second drainage tube has a plurality of second drainage apertures.