A device for accessing the intra-thoracic space without the need for a thoracotomy or sternotomy includes a cannula having a shaft positionable through a supra-sternal incision into a retrosternal space and a stabilization system for supporting the cannula in a fixed position. The cannula includes illumination features used to illuminate the retrosternal space, giving clear, direct visualization of the retrosternal space during dissection to, and performance of procedures at, the surgical site.